FORM HEALTH LLC

PORTLAND, OR
NPI1265605364
Entity TypeOrganization
Authorized ContactRYAN MINARIK
Owner
503-232-5653
Organization Subpart ?No
Primary Taxonomy175F00000X Naturopath
(Licence: OR  1517)
Additional Taxonomies171100000X Acupuncturist
(Licence: OR  AC01027)
Enumeration Date2008-04-09
Last Update Date2025-12-03
Business Address
FORM HEALTH LLC
8113 SE 13TH AVE
PORTLAND, OR 97202-6607
Phone number: 503-232-5653
Mailing Address
FORM HEALTH LLC
8113 SE 13TH AVE
PORTLAND, OR 97202-6607
Phone number: 503-232-5653