NPI | 1124191291 |
---|---|
Former Legal Business Name | HOUSE OF BLESSING |
Entity Type | Organization |
Authorized Contact | CAROL ANN COOPER Overseer 503-393-6071 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 27 2510) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2014-07-18 |