CONCORDIA WELLNESS, LLC

PORTLAND, OR
NPI1023520814
Entity TypeOrganization
Authorized ContactKIM MAGRAW
Sole Member
503-449-7631
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: OR  19492)
Additional Taxonomies261Q00000X Clinic/Center
(Licence: CA  4194)
Enumeration Date2017-11-01
Last Update Date2020-10-03
Business Address
CONCORDIA WELLNESS, LLC
3014 NE KILLINGSWORTH ST
PORTLAND, OR 97211-6814
Phone number: 503-449-7631
Mailing Address
CONCORDIA WELLNESS, LLC
3014 NE KILLINGSWORTH ST
PORTLAND, OR 97211-6814
Phone number: 503-449-7631