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1356084271
WILLOW ROOT MEDICINE, LLC
CLACKAMAS, OR
NPI
1356084271
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Entity Type
Organization
Authorized Contact
THORN AM WILLOW
Member
503-309-0376
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
WILLOW ROOT MEDICINE, LLC
16444 SE 135TH AVE
CLACKAMAS, OR 97015-8932
Phone number: 503-309-0376
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Mailing Address
WILLOW ROOT MEDICINE, LLC
16444 SE 135TH AVE
CLACKAMAS, OR 97015-8932
Phone number: 503-309-0376
Copy
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