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 |
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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 |
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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 |
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Provider Enumeration Date | 09/30/2021 |
Last Update Date | 09/30/2021 |
Certification Date | 09/30/2021 |
Identifier | Type | State | Issuer |
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1205508918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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