ALISA MAIA ILLO

PORTLAND, OR
NPI1811667462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175F00000X Naturopath
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
Dr. ALISA MAIA ILLO ND
4246 SE BELMONT ST STE 5
PORTLAND, OR 97215-1676
Phone number: 503-445-8114
Mailing Address
Dr. ALISA MAIA ILLO ND
PO BOX 1125
LAKE OSWEGO, OR 97035-0503
Phone number: 503-593-1210