Organization · NPI-2
Curious Crow Tattoo LLC
Specialist/Technologist, Other · Corvallis, OR
NPI number1871383919
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1871383919
- Entity type
- Organization (NPI-2)
- Legal business name
- Curious Crow Tattoo LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2025
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
252 Sw Madison Ave Ste 120Corvallis, OR 97333-4895
Phone 509-551-8867
Mailing address
252 Sw Madison Ave Ste 120Corvallis, OR 97333-4895
Phone 509-551-8867
Authorized official
Cassidy Faulds
Owner
5095518867
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