| Body Craft Wellness Llc | |
|
1135 Se Salmon St. Suite 108 Portland OR 97214 | |
| (503) 349-6221 | |
| (503) 907-9117 |
| Full Name | Body Craft Wellness Llc |
|---|---|
| Speciality | Acupuncturist |
| Location | 1135 Se Salmon St., Portland, Oregon |
| Authorized Official Name and Position | Hayley Simon (OWNER/PROVIDER) |
| Authorized Official Contact | 5033496221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Craft Wellness Llc 1135 Se Salmon St. Suite 108 Portland OR 97214 Ph: (503) 349-6221 | Body Craft Wellness Llc 1135 Se Salmon St. Suite 108 Portland OR 97214 Ph: (503) 349-6221 |
| NPI Number | 1922744705 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 08/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922744705 | NPI | - | NPPES |
| 500783369 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
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