Healthcare Provider Details

I. General information

NPI: 1124320015
Provider Name (Legal Business Name): VHASKERA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2010
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16315 SW BARROWS RD STE 203A
BEAVERTON OR
97007-9461
US

IV. Provider business mailing address

5058 NW CRADY LN
PORTLAND OR
97229-2395
US

V. Phone/Fax

Practice location:
  • Phone: 503-746-6585
  • Fax: 503-746-6583
Mailing address:
  • Phone: 503-381-1404
  • Fax: 503-746-6583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: BHASKAR BHATNAGAR
Title or Position: OWNER
Credential:
Phone: 503-381-1404