MOUNTAIN LAKE WELLNESS LLC

PORTLAND, OR
NPI1841545092
Entity TypeOrganization
Authorized ContactLESLIE HUDDART
Owner
503-828-3050
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC153196)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
MOUNTAIN LAKE WELLNESS LLC
2442 SE 101ST AVE SUITE 308
PORTLAND, OR 97216-3060
Phone number: 503-828-3050
Mailing Address
MOUNTAIN LAKE WELLNESS LLC
2442 SE 101ST AVE SUITE 308
PORTLAND, OR 97216-3060
Phone number: 503-828-3050
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