| Life Restoration Missions | |
|
6111 Sw Lesser Way Portland OR 97219-7040 | |
| (503) 500-7744 | |
| Not Available |
| Full Name | Life Restoration Missions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6111 Sw Lesser Way, Portland, Oregon |
| Authorized Official Name and Position | Julius Maximo (ADMIN) |
| Authorized Official Contact | 6172028004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Restoration Missions 6111 Sw Lesser Way Portland OR 97219-7040 Ph: () - | Life Restoration Missions 6111 Sw Lesser Way Portland OR 97219-7040 Ph: (503) 500-7744 |
| NPI Number | 1114747763 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114747763 | NPI | - | NPPES |
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