LOTUS TEEGARDEN

PORTLAND, OR
NPI1801270186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-16
Last Update Date2021-12-18
Business Address
LOTUS TEEGARDEN B.S.
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1171
Mailing Address
LOTUS TEEGARDEN B.S.
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1171
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