| Stillness and Movement LLC | |
|
3863 Sw Hall Blvd Ste B Beaverton OR 97005-2042 | |
| (503) 208-4638 | |
| Not Available |
| Full Name | Stillness and Movement LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3863 Sw Hall Blvd Ste B, Beaverton, Oregon |
| Authorized Official Name and Position | Steven Thammasouk (OWNER) |
| Authorized Official Contact | 5032084638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillness and Movement LLC 3830 Nw Chemult Pl Portland OR 97229-3157 | Stillness and Movement LLC 3863 Sw Hall Blvd Ste B Beaverton OR 97005-2042 Ph: (503) 208-4638 |
| NPI Number | 1790517217 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790517217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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