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1053670117
TIGARD HOLISTIC HEALTH CLINIC, LLC
TIGARD, OR
NPI
1053670117
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Entity Type
Organization
Authorized Contact
STACEY LYNN RAFFETY
Owner
503-639-1712
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 0855)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
TIGARD HOLISTIC HEALTH CLINIC, LLC
11930 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-639-1712
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Mailing Address
TIGARD HOLISTIC HEALTH CLINIC, LLC
11930 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-639-1712
Copy
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