MEDICARE: SACHI WELLNESS CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	12687	OR

General Provider Information

NPI Number	:	1093902710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACHI WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	2008 WILLAMETTE FALLS DR
Second Line	:	SUITE 200 A
City	:	WEST LINN
State	:	OR
Zip	:	97068-4658
Country	:	US
Telephone Number	:	503-607-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 WILLAMETTE FALLS DR
Second Line	:	SUITE 200 A
City	:	WEST LINN
State	:	OR
Zip	:	97068-4658
Country	:	US
Telephone Number	:	503-607-0018
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. CHIHIRO A. ABER
Credential	:	N.D., L.AC.
Telephone Number	:	503-607-0018

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	10/02/2007

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Directions to “SACHI WELLNESS CENTER, LLC ” Practice Location

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