# MINDFUL YOGA WORKS LLC

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

## Provider details

- **NPI number:** 1609639582
- **Authorized official:** KIMBERLY M CARSON MPH (REGISTERED AGENT)
- **Authorized official phone:** (503) 975-7869

## Contact information

- **Practice address:** 2324 SW MITCHELL ST, PORTLAND, OR 97239-2127
- **Practice address phone:** (503) 975-7869
- **Mailing address:** 2324 SW MITCHELL ST, PORTLAND, OR 97239-2127
- **Mailing address phone:** (503) 975-7869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2024
- **Last updated:** 02/02/2024