Organization
MAGNOLIA FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRABOWSKA ND, LAC, LM (MEDICAL DIRECTOR)
(503) 236-6006
Entity
Organization
Contact information
Practice address
2207 NE BROADWAY ST STE 200, PORTLAND, OR 97232-1791
(503) 701-3375
(503) 232-3436
Mailing address
2207 NE BROADWAY ST STE 200, PORTLAND, OR 97232-1791
(503) 701-3375
(503) 232-3436
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
176B00000X
Midwife
—
—
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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