| Center Light Studio Llc | |
|
13424 Se 169th Ave # A120 Happy Valley OR 97015-8744 | |
| (503) 300-6073 | |
| Not Available |
| Full Name | Center Light Studio Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13424 Se 169th Ave # A120, Happy Valley, Oregon |
| Authorized Official Name and Position | Sarah Angermeier (OWNER) |
| Authorized Official Contact | 5033006073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Light Studio Llc 13424 Se 169th Ave # A120 Happy Valley OR 97015-8744 Ph: () - | Center Light Studio Llc 13424 Se 169th Ave # A120 Happy Valley OR 97015-8744 Ph: (503) 300-6073 |
| NPI Number | 1205508918 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205508918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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