BLUE AUTUMN BALANCE, LLC

PORTLAND, OR
NPI1851844815
Entity TypeOrganization
Authorized ContactBEVERLY KI HACELY
Owner
503-583-3235
Organization Subpart ?No
Primary Taxonomy175F00000X Naturopath
(Licence: OR  1279)
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
BLUE AUTUMN BALANCE, LLC
10200 SW EASTRIDGE ST #135
PORTLAND, OR 97225-5064
Phone number: 503-583-3235
Mailing Address
BLUE AUTUMN BALANCE, LLC
2850 SW CEDAR HILLS BLVD #254
BEAVERTON, OR 97005-1354
Phone number: 503-583-3235
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