The Golden Room Llc

NPI 1205172913 - Specialist - 174400000X

NPI Details
NPI 1205172913
Enumeration Date 12/27/2012
Last Updated 12/27/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MAURI MAURI
Position OWNER/LMT
Phone (971) 506-4560
Fax
Practice Location
636 SE 49TH AVE
PORTLAND OR, 97215-1728, US
Phone (971) 506-4560
Fax
Business Location
4360 NE SIMPSON ST
PORTLAND OR, 97218-1444, US
Phone (971) 506-4560
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 8161
Remove 1205172913 NPI Number
 

According to our database, The Golden Room Llc NPI is 1205172913, taxonomy code is 174400000X and license number is 8161, license state is located at Oregon. The Golden Room Llc physically located at 636 Se 49th Ave, Portland OR, 97215-1728. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205172913 NPI number is provided on an as is basis without warranty of any kind. 1205172913 is maintained by the National Plan & Provider Enumeration System. The contents of The Golden Room Llc are for informational purposes only.