POWERED BY SELF LOVE OREGON LLC

KEIZER, OR
NPI1821730417
Entity TypeOrganization
Authorized ContactLOAN PHAM
Founder, CEO
714-880-5065
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2022-04-13
Last Update Date2022-11-07
Business Address
POWERED BY SELF LOVE OREGON LLC
5305 RIVER RD N STE B1
KEIZER, OR 97303-5324
Phone number: 657-321-9765
Mailing Address
POWERED BY SELF LOVE OREGON LLC
16027 BROOKHURST ST STE I-732
FOUNTAIN VALLEY, CA 92708-1551
Phone number: 657-321-9765
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