# ENDOURA EFFECT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Endoura Effect
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649162413
- **Authorized official:** JILLIAN SIMON APRN (CEO)
- **Authorized official phone:** (651) 491-4946

## Contact information

- **Practice address:** 1099 HELMO AVE N STE 230, OAKDALE, MN 55128-6037
- **Practice address phone:** (651) 243-0625
- **Practice address fax:** (855) 462-3105
- **Mailing address:** 202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
- **Mailing address phone:** (651) 243-0625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 07/16/2025