JEREMY MIKOLAI ND INC

PORTLAND, OR
NPI1033674841
Doing Business AsSEQUOIA NATURAL MEDICINE
Entity TypeOrganization
Authorized ContactJEREMY MICHAEL MIKOLAI
Medical Director/CEO
507-327-4451
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
JEREMY MIKOLAI ND INC
2540 NE M L KING BLVD
PORTLAND, OR 97212-3732
Phone number: 507-800-0056
Mailing Address
JEREMY MIKOLAI ND INC
4110 SE HAWTHORNE BLVD # 132
PORTLAND, OR 97214-5246
Phone number: 507-800-0056