A Healing Intention, Llc

NPI 1104236819 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104236819
Enumeration Date 05/02/2014
Last Updated 06/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KEVIN C KEVIN
Position OWNER
Phone (503) 906-7870
Fax (503) 906-7871
Practice Location
12725 SW MILLIKAN WAY
SUITE 300
BEAVERTON OR, 97005-1678, US
Phone (503) 906-7870
Fax (503) 906-7871
Business Location
12725 SW MILLIKAN WAY
SUITE 300
BEAVERTON OR, 97005-1678, US
Phone (503) 906-7870
Fax (503) 906-7871
Toxanomy
Taxonomy Code 251S00000X
License State Oregon
License Number 5855
Remove 1104236819 NPI Number
 

According to our database, A Healing Intention, Llc NPI is 1104236819, taxonomy code is 251S00000X and license number is 5855, license state is located at Oregon. A Healing Intention, Llc physically located at 12725 Sw Millikan Way, Beaverton OR, 97005-1678. NPI Number 1033115704 has the healthcare provider type.

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1104236819 NPI number is provided on an as is basis without warranty of any kind. 1104236819 is maintained by the National Plan & Provider Enumeration System. The contents of A Healing Intention, Llc are for informational purposes only.