Justice Clinical Consults INC
Clinic/Center in Lake Oswego, OR. Organization (NPI-2).
NPI number1376887992
StatusActive
Last updated in NPPESApr 11, 2013
Details
- NPI
- 1376887992
- Entity type
- Organization (NPI-2)
- Legal business name
- Justice Clinical Consults INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2012
- Last updated
- Apr 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 2651 | OR | Yes |
Practice location
315 2nd StLake Oswego, OR 97034-3114
Phone 503-635-6246 · Fax 503-635-1405
Mailing address
315 Second StreetLake Oswego, OR 97034-3114
Phone 503-635-6246 · Fax 503-635-1405
Authorized official
Janice Justice
President
8662899084
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