FULL BLOOM NATURAL MEDICINE, LLC

CORVALLIS, OR
NPI1871153585
Entity TypeOrganization
Authorized ContactMARY BOUCHER
Dr.
541-224-6738
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2019-06-14
Last Update Date2019-12-09
Business Address
FULL BLOOM NATURAL MEDICINE, LLC
922 NW CIRCLE BLVD STE 180
CORVALLIS, OR 97330-1483
Phone number: 541-224-6738
Mailing Address
FULL BLOOM NATURAL MEDICINE, LLC
922 NW CIRCLE BLVD STE 180
CORVALLIS, OR 97330-1483
Phone number: 541-224-6738
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