| Pnw Nutrition And Recovery | |
|
2455 Nw Marshall St Ste 7 Portland OR 97210-2949 | |
| (310) 906-8950 | |
| Not Available |
| Full Name | Pnw Nutrition And Recovery |
|---|---|
| Speciality | Clinic/center |
| Location | 2455 Nw Marshall St Ste 7, Portland, Oregon |
| Authorized Official Name and Position | Samara L Roman-holba (OWNER) |
| Authorized Official Contact | 3109068950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw Nutrition And Recovery 2241 Nw Pettygrove St Apt 7 Portland OR 97210-2685 Ph: (310) 906-8950 | Pnw Nutrition And Recovery 2455 Nw Marshall St Ste 7 Portland OR 97210-2949 Ph: (310) 906-8950 |
| NPI Number | 1942059050 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942059050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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