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Organization

NATURAL FAMILY HEALTH CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYLER KELIIHELEUA N.D. (MANAGER/PROVIDER)
(503) 246-2995
Entity
Organization

Contact information

Practice address
7770 SW OLESON RD, PORTLAND, OR 97223-7445
(503) 246-2995
Mailing address
15100 SW MALLARD DR, SUITE 202, BEAVERTON, OR 97007-9393
(503) 246-2995

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1635
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500610276
OR
Enumeration date
03/17/2010
Last updated
03/17/2010
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