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Organization

LIONESS ELECTROLYSIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER CARISSA HANNIGAN LE (OWNER)
(503) 593-1933
Entity
Organization

Contact information

Practice address
80 SE MADISON ST STE 420, PORTLAND, OR 97214-4527
(503) 593-1933
(971) 358-8087
Mailing address
80 SE MADISON ST STE 420, PORTLAND, OR 97214-4527
(503) 593-1933
(971) 358-8087

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/24/2026
Last updated
07/24/2026
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