LISA JEWELL DC LLC

PORTLAND, OR
NPI1104332899
Entity TypeOrganization
Authorized ContactLISA JEWELL
Owner
503-224-5010
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: OR  5655)
Enumeration Date2017-12-18
Last Update Date2017-12-18
Business Address
LISA JEWELL DC LLC
510 SW 3RD AVE STE 210
PORTLAND, OR 97204-2507
Phone number: 503-224-5010
Mailing Address
LISA JEWELL DC LLC
510 SW 3RD AVE STE 210
PORTLAND, OR 97204-2507
Phone number: 503-224-5010