institution
Eleven Eleven, Llc
Medical Art Specialist/Technologist in Portland, Oregon
NPI 1548667918

Eleven Eleven, Llc is a Medical Art Specialist/Technologist based in Portland, OR and is specialized in Art, Medical. Eleven Eleven, Llc practices in Portland, OR. The NPI Number for Eleven Eleven, Llc is 1548667918 and holds a License No. BAP-TA-10133461 (Oregon).

The current practice location address for Eleven Eleven, Llc is 6714 Sw 62Nd Place, Portland, OR and can be reached out via phone at 503-956-9773.

Location: 6714 Sw 62Nd Place, Portland, OR, 97219
institution
Provider Profile Details
NPI Number
1548667918
Provider Name
Eleven Eleven, Llc
Credential
Provider Entity Type
Organization
Address
6714 Sw 62Nd Place, Portland, OR, 97219
Phone Number
503-956-9773
Fax Number
Provider Enumeration Date
12/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155097 01 OR CERTIFIED PERMANENT COSMETICS PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
6714 Sw 62Nd Place
City
State
Zip
97219
Phone Number
503-956-9773
Fax Number
person
Provider Business Mailing Address Details
Address
6714 Sw 62Nd Place
City
State
Zip
97219
Phone Number
503-956-9773
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Art, Medical
Taxonomy
License No.
BAP-TA-10133461 (Oregon)
Definition
Definition to come...
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