| NPI | 1821730417 |
|---|---|
| Doing Business As | POWERED BY SELF LOVE OREGON LLC |
| Entity Type | Organization |
| Authorized Contact | LOAN PHAM Founder, CEO 714-880-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-11-07 |