Organization
PORTLAND HOLISTIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA PORRO RUBIALES ND, LAC (OWNER, PHYSICIAN)
(503) 241-5094
Entity
Organization
Contact information
Practice address
1435 NW 23RD AVE, STE 100, PORTLAND, OR 97210-2642
(503) 241-5094
Mailing address
1435 NW 23RD AVE, STE 100, PORTLAND, OR 97210-2642
(503) 241-5094
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00577
OR
175F00000X
Naturopath
Primary
1123
OR
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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