MEDICARE: ATTUNED BODYWORK 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

General Provider Information

NPI Number	:	1114880176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTUNED BODYWORK LLC

Provider Business Mailing Address
First Line	:	1200 NW MARSHALL ST STE 4350
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3196
Country	:	US
Telephone Number	:	503-688-3638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 NW MARSHALL ST STE 4350
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3196
Country	:	US
Telephone Number	:	503-688-3638
Fax Number	:

Authorized Official
Title or Position	:	MMR
Name	:	KOLT SATTERFIELD
Credential	:	LMT
Telephone Number	:	503-688-3638

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	12/06/2025

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Directions to “ATTUNED BODYWORK LLC ” Practice Location

Language	Start Address	Practice Location

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