Body Unbound | |
2230 Nw Pettygrove St Ste 110 Portland OR 97210-2659 | |
(971) 227-0560 | |
Not Available |
Full Name | Body Unbound |
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Speciality | Family Medicine |
Location | 2230 Nw Pettygrove St Ste 110, Portland, Oregon |
Authorized Official Name and Position | Ingeborg Hindel (OWNER) |
Authorized Official Contact | 9712270560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Body Unbound 3056 Ne Oregon St Portland OR 97232-2450 Ph: () - | Body Unbound 2230 Nw Pettygrove St Ste 110 Portland OR 97210-2659 Ph: (971) 227-0560 |
NPI Number | 1487425260 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487425260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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