Organization
EVA HOSSEINION, L.AC., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA HOSSEINION L.AC. (OWNER)
(503) 706-6725
Entity
Organization
Contact information
Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 706-6725
Mailing address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC159640
OR
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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