Organization
SEARLES WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONA SEARLES ANP, LAC (OWNER)
(503) 222-5005
Entity
Organization
Contact information
Practice address
0224 SW HAMILTON ST, SUITE 104, PORTLAND, OR 97239-6418
(503) 222-5005
(503) 296-2482
Mailing address
0224 SW HAMILTON ST, SUITE 104, PORTLAND, OR 97239-6418
(503) 222-5005
(503) 296-2482
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ANP 083040868N3
OR
261Q00000X
Clinic/Center
LAC AC00866
OR
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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