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Organization
LIONHEART INCORPORATED
Active
Organization
LIONHEART INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILARY COSTELLO N.D. (PRESIDENT)
(503) 200-9197
Entity
Organization
Contact information
Practice address
9404 SW 4TH AVE, PORTLAND, OR 97219-4819
(503) 200-9197
Mailing address
9404 SW 4TH AVE, PORTLAND, OR 97219-4819
(503) 200-9197
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1482
OR
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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