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Organization
PORTLAND HOLISTIC MEDICINE, LLC
Active
Organization
PORTLAND HOLISTIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA PORRO RUBIALES ND, LAC (OWNER, PHYSICIAN)
(503) 241-5094
Entity
Organization
Contact information
Practice address
1435 NW 23RD AVE, STE 100, PORTLAND, OR 97210-2642
(503) 241-5094
Mailing address
1435 NW 23RD AVE, STE 100, PORTLAND, OR 97210-2642
(503) 241-5094
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00577
OR
175F00000X
Naturopath
Primary
1123
OR
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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