Organization
ROSES THORN ELECTROLOGY GROUP LLC
Active
Other names
ROSES THORN ELECTROLOGY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MAX L LAVALLEE LE (LICENSED ELECTROLOGIST)
(503) 676-4799
Entity
Organization
Contact information
Practice address
1954 SE 182ND AVE # 201, PORTLAND, OR 97233-5602
(503) 660-8468
Mailing address
416 SE 34TH CIR, TROUTDALE, OR 97060-4505
(503) 676-4799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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