Angelic Healing Hands, INC.
Specialist in Portland, OR. Organization (NPI-2).
NPI number1275944019
StatusActive
Last updated in NPPESMay 14, 2014
Details
- NPI
- 1275944019
- Entity type
- Organization (NPI-2)
- Legal business name
- Angelic Healing Hands, INC.
- Organization subpart
- No
- Enumeration date
- May 14, 2014
- Last updated
- May 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 6610 | OR | Yes |
Practice location
1225 Nw Murray RdSuite 103
Portland, OR 97229-5552
Phone 503-644-6109 · Fax 506-644-6109
Mailing address
1225 Nw Murray RdSuite 103
Portland, OR 97229-5552
Phone 503-644-6109 · Fax 506-644-6109
Authorized official
Rod S Dudley
Owner/President
5036446109
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