ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC

PORTLAND, OR
NPI1356905855
Entity TypeOrganization
Authorized ContactKIRSTEN KAREN ISAKSON
Managing Member
971-229-2140
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
171100000X Acupuncturist
175F00000X Naturopath
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine
225700000X Massage Therapist
Enumeration Date2019-04-30
Last Update Date2022-03-30
Business Address
ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC
4035 SE 52ND AVE STE B
PORTLAND, OR 97206-3913
Phone number: 503-482-7556
Mailing Address
ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC
4035 SE 52ND AVE STE B
PORTLAND, OR 97206-3913
Phone number: 971-229-2140