Organization
LIONHEART INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILARY PAIGE COSTELLO N.D, (PRESIDENT)
(503) 287-4970
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST STE 330, PORTLAND, OR 97205-2550
(503) 287-4970
(503) 221-5454
Mailing address
9404 SW 4TH AVE, PORTLAND, OR 97219-4819
(503) 246-0513
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1482
OR
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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