| NPI | 1154989259 |
|---|---|
| Doing Business As | AFTERBURN - A PLACE FOR HEALING |
| Entity Type | Organization |
| Authorized Contact | NATHAN KEMALYAN Owner/ Provider 503-468-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-07-24 |