# LICE CHARMERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033957295
- **Authorized official:** JAMES DUGGAN (MANAGING MEMBER)
- **Authorized official phone:** (503) 505-6695

## Contact information

- **Practice address:** 10445 SW CANYON RD STE 230, BEAVERTON, OR 97005-1961
- **Practice address phone:** (503) 505-6695
- **Mailing address:** 10445 SW CANYON RD STE 230, BEAVERTON, OR 97005-1961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247200000X | Other Technician | — | NULL | Yes |
| 247200000X | Other Technician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2024
- **Last updated:** 08/04/2026