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Organization
LICE CHARMERS
Active
Organization
LICE CHARMERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DUGGAN (MANAGING MEMBER)
(503) 505-6695
Entity
Organization
Contact information
Practice address
10445 SW CANYON RD STE 230, BEAVERTON, OR 97005-1961
(503) 505-6695
Mailing address
10445 SW CANYON RD STE 230, BEAVERTON, OR 97005-1961
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
NULL
247200000X
Other Technician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
08/04/2026
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