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Repare Massage LLC — NPI 1093244642, Portland, OR | NPI Central

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NPI 1093244642

OrganizationActive

Repare Massage LLC

NPI 1093244642 · Health Maintenance Organization · Portland, OR

Provider details

NPI number: 1093244642
Entity type: Organization
Primary specialty: Health Maintenance OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Leslie Christiansen, Owner/Provider(503) 679-6881

Specialties & taxonomies

Health Maintenance OrganizationPrimary302R00000XLicense 8052 (OR)
Managed Care Organizations
Health Maintenance Organization302R00000X
Managed Care Organizations

Practice location

4004 Sw Kelly Ave Ste 203

Portland, OR 97239-4389

Phone: (503) 679-6881

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

4004 Sw Kelly Ave Ste 203

Portland, OR 97239-4389

Additional practice locations (1)

7831 Se Stark St Ste 204
Portland, OR 97215-2301
Phone: (503) 679-6881
Fax: (503) 777-2141

Registry dates

Enumerated: 2017-06-07
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.