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Organization
MOUNTAIN LIFE CLINIC LLC
Active
Organization
MOUNTAIN LIFE CLINIC LLC
Active
Other names
Mountain Life Clinic, Jason and Melanie Brown PC
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER POTTER (BILLING SPECIALIST)
(503) 288-4454
Entity
Organization
Contact information
Practice address
67195 E HIGHWAY 26, WELCHES, OR 97067-9610
(503) 288-4454
(503) 288-1783
Mailing address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
(503) 288-1783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/10/2022
Last updated
06/16/2025
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