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Organization
RED LEAF NATURAL HEALTH CLINIC
Active
Organization
RED LEAF NATURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAINA MONET LASSE ND (OWNER)
(503) 754-8175
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE STE 1018, PORTLAND, OR 97205-2124
(503) 224-2525
(503) 224-3397
Mailing address
833 SW 11TH AVE STE 1018, PORTLAND, OR 97205-2124
(503) 224-2525
(503) 224-3397
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1524
OR
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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