Organization
HEART BRIDGE MEDICINAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KRISTEN MIRACLE LAC, MS (OWNER)
(971) 808-9186
Entity
Organization
Contact information
Practice address
1734 NE BROADWAY ST, PORTLAND, OR 97232-2783
(971) 808-9186
Mailing address
3123 N WILLAMETTE BLVD APT 201, PORTLAND, OR 97217-4080
(971) 808-9186
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
09/11/2025
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