institution
Evergreen Integrative Medicine, Llc
Health Service Clinic/Center in Portland, Oregon
NPI 1407237175

Evergreen Integrative Medicine, Llc is a Health Service Clinic/Center based in Portland, OR and is specialized in Health Service. Evergreen Integrative Medicine, Llc practices in Portland, OR. The NPI Number for Evergreen Integrative Medicine, Llc is 1407237175 and holds a License No. 1333 (Oregon).

The current practice location address for Evergreen Integrative Medicine, Llc is 4926 Se Woodstock Blvd, Portland, OR and can be reached out via phone at 503-388-6715 and via fax at 888-302-5652.

Location: 4926 Se Woodstock Blvd, Portland, OR, 97206-6163
institution
Provider Profile Details
NPI Number
1407237175
Provider Name
Evergreen Integrative Medicine, Llc
Credential
Provider Entity Type
Organization
Address
4926 Se Woodstock Blvd, Portland, OR, 97206-6163
Phone Number
503-388-6715
Fax Number
888-302-5652
Provider Enumeration Date
06/17/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
275019 05 OR
institution
Provider Business Practice Location Address Details
Address
4926 Se Woodstock Blvd
City
State
Zip
97206-6163
Phone Number
503-388-6715
Fax Number
888-302-5652
person
Provider Business Mailing Address Details
Address
4926 Se Woodstock Blvd
City
State
Zip
97206-6163
Phone Number
503-388-6715
Fax Number
888-302-5652
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
1333 (Oregon)
Definition
Definition to come...
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