Beyond Health LLC
Clinic/Center, Primary Care in Portland, OR. Organization (NPI-2).
NPI number1104447895
StatusActive
Last updated in NPPESMay 19, 2023
Details
- NPI
- 1104447895
- Entity type
- Organization (NPI-2)
- Legal business name
- Beyond Health LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2020
- Certification date
- May 19, 2023
- Last updated
- May 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Beyond Health LLC (Former Legal Business Name)
Practice location
15160 Nw Laidlaw Rd Ste 224Portland, OR 97229-7709
Phone 503-922-7267 · Fax 678-792-9439
Mailing address
4804 Nw Bethany Blvd Ste I-2-159Portland, OR 97229
Authorized official
Meenakshi Aggarwal
MD
6784474921
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