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General NPI Number Information
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NPI Number | 1902697774
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Entity Type | Organization
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Legal Business Name | IN TUNE SOMATIC BODYWORK LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 460 5TH ST UNIT F
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-3066
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Country | US
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Telephone | 503-880-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 9565 SW FREWING CT
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City | TIGARD
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State | OR
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Zip | 97223-6029
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Country | US
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Telephone | 503-880-6002
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | KYLE JAMES EVANS
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Credential |
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Telephone | 503-880-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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