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1811667462
ALISA MAIA ILLO
PORTLAND, OR
NPI
1811667462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175F00000X Naturopath
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
Dr. ALISA MAIA ILLO ND
4246 SE BELMONT ST STE 5
PORTLAND, OR 97215-1676
Phone number: 503-445-8114
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Mailing Address
Dr. ALISA MAIA ILLO ND
PO BOX 1125
LAKE OSWEGO, OR 97035-0503
Phone number: 503-593-1210
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