| NPI | 1760998355 |
|---|---|
| Doing Business As | WILLAMETTE VALLEY WEIGHT LOSS, LLC |
| Entity Type | Organization |
| Authorized Contact | AUBREY LYNN HARDING Owner 971-301-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OR 3012) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2019-01-07 |