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Organization
MINDFUL GROWTH AND WELLNESS LLC
Active
Organization
MINDFUL GROWTH AND WELLNESS LLC
Active
Other names
Emily DeMarco, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY TESS DEMARCO MD (MANAGING MEMBER)
(503) 758-9588
Entity
Organization
Contact information
Practice address
4824 NE 42ND AVE # 177, PORTLAND, OR 97218-1661
(503) 758-9588
Mailing address
4824 NE 42ND AVE # 177, PORTLAND, OR 97218-1661
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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