Milwaukie Natural Medicine, Llc | |
6501 Se King Rd Portland OR 97222-2538 | |
(503) 863-5939 | |
(503) 788-8020 |
Full Name | Milwaukie Natural Medicine, Llc |
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Speciality | Clinic/center |
Location | 6501 Se King Rd, Portland, Oregon |
Authorized Official Name and Position | Karmen Valena Geller (BUSINESS OWNER) |
Authorized Official Contact | 5036835939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milwaukie Natural Medicine, Llc 6501 Se King Rd Portland OR 97222-2538 Ph: (503) 863-5939 | Milwaukie Natural Medicine, Llc 6501 Se King Rd Portland OR 97222-2538 Ph: (503) 863-5939 |
NPI Number | 1134597602 |
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Provider Enumeration Date | 09/14/2015 |
Last Update Date | 09/14/2015 |
Identifier | Type | State | Issuer |
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1134597602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AC174049 (Oregon) | Primary |
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