Organization
EMPOWER MIND & BODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MUQTAR (CEO)
(971) 895-5976
Entity
Organization
Contact information
Practice address
4130 SW 117TH AVE # A165, BEAVERTON, OR 97005-5606
(971) 895-5976
Mailing address
4130 SW 117TH AVE # A165, BEAVERTON, OR 97005-5606
(971) 895-5976
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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