Gfm Llc | |
1235 Se Division St Ste 114 Portland OR 97202-1042 | |
(206) 305-8709 | |
Not Available |
Full Name | Gfm Llc |
---|---|
Speciality | Clinic/center |
Location | 1235 Se Division St Ste 114, Portland, Oregon |
Authorized Official Name and Position | Jonathan Allon Irvin (ACUPUNCTURIST) |
Authorized Official Contact | 2063058709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gfm Llc 525 Se 41st Ave Apt 16 Portland OR 97214-3259 Ph: (206) 305-8709 | Gfm Llc 1235 Se Division St Ste 114 Portland OR 97202-1042 Ph: (206) 305-8709 |
NPI Number | 1801413240 |
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Provider Enumeration Date | 07/01/2020 |
Last Update Date | 07/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801413240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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