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1164133427
MICHAELA GRILLO LLC
SALEM, OR
NPI
1164133427
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Entity Type
Organization
Authorized Contact
MICHAELA GRILLO
Owner
978-790-7466
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
MICHAELA GRILLO LLC
942 WINDEMERE DR NW
SALEM, OR 97304
Phone number: 503-482-9089
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Mailing Address
MICHAELA GRILLO LLC
3055 NW YEON AVE # 866
PORTLAND, OR 97210-1519
Phone number: 503-482-9089
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