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NPI Code Detail

MEDICARE: VHASKERA LLC

MEDICARE: VHASKERA 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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1124320015
Entity Type Code : Organization
Provider Name (Legal Business Name) : VHASKERA LLC
Provider Business Mailing Address
First Line : 5058 NW CRADY LN
Second Line :
City : PORTLAND
State : OR
Zip : 97229-2395
Country : US
Telephone Number : 503-381-1404
Fax Number : 503-746-6583
Provider Business Practice Location Address
First Line : 16315 SW BARROWS RD STE 203A
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-9461
Country : US
Telephone Number : 503-746-6585
Fax Number : 503-746-6583
Authorized Official
Title or Position : OWNER
Name : BHASKAR BHATNAGAR
Credential :
Telephone Number : 503-381-1404
Provider Enumeration Date : 11/26/2010
Last Update Date : 04/06/2017

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Directions to “VHASKERA LLC ” Practice Location

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