| NPI | 1104322841 |
|---|---|
| Doing Business As | LILAC WELLNESS AND COUNSELING |
| Entity Type | Organization |
| Authorized Contact | PAM CONNELL Administration 503-587-9937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-12-13 |