| The Aesthetic Experience, Llc | |
|
1969 Willamette Falls Dr Ste 160 West Linn OR 97068-4695 | |
| (503) 367-9565 | |
| Not Available |
| Full Name | The Aesthetic Experience, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1969 Willamette Falls Dr Ste 160, West Linn, Oregon |
| Authorized Official Name and Position | Olesya Salathe (PRESIDENT) |
| Authorized Official Contact | 5033679565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Aesthetic Experience, Llc 1969 Willamette Falls Dr Ste 160 West Linn OR 97068-4695 Ph: () - | The Aesthetic Experience, Llc 1969 Willamette Falls Dr Ste 160 West Linn OR 97068-4695 Ph: (503) 367-9565 |
| NPI Number | 1396403010 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396403010 | NPI | - | NPPES |
| NA | Other | FEE FOR SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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