Taya Lindley, Lac, Llc

NPI 1275793267 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275793267
Enumeration Date 06/12/2008
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TAYA TAYA
Position OWNER
Phone (503) 235-5484
Fax
Practice Location
3942 SE HAWTHORNE BLVD
PORTLAND OR, 97214-5242, US
Phone (503) 235-5484
Fax
Business Location
3942 SE HAWTHORNE BLVD
PORTLAND OR, 97214-5242, US
Phone (503) 235-5484
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Taya Lindley, Lac, Llc NPI is 1275793267, taxonomy code is 261Q00000X Taya Lindley, Lac, Llc physically located at 3942 Se Hawthorne Blvd, Portland OR, 97214-5242. NPI Number 1033115704 has the healthcare provider type.

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1275793267 NPI number is provided on an as is basis without warranty of any kind. 1275793267 is maintained by the National Plan & Provider Enumeration System. The contents of Taya Lindley, Lac, Llc are for informational purposes only.