HOLLY WIGMORE LLC

PORTLAND, OR
NPI1841000957
Doing Business AsHOLLY WIGMORE
Entity TypeOrganization
Authorized ContactHOLLY WIGMORE
Practice Owner
503-843-8862
Organization Subpart ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2025-01-10
Last Update Date2025-01-10
Business Address
HOLLY WIGMORE LLC
5901 S MACADAM AVE STE 100
PORTLAND, OR 97239-3620
Phone number: 503-843-8862
Mailing Address
HOLLY WIGMORE LLC
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 503-843-8862