Organization
ODYSSEY SCIENCE INNOVATIONS, LLC
Active
Other names
Provata Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GOLDBERG (CEO)
(503) 577-7571
Entity
Organization
Contact information
Practice address
6 CENTERPOINTE DR STE 450, LAKE OSWEGO, OR 97035-8621
(503) 489-8929
Mailing address
6 CENTERPOINTE DR STE 450, LAKE OSWEGO, OR 97035-8621
(503) 489-8929
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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