Organization
TAYA LINDLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYA LINDLEY LAC (OWNER)
(503) 349-5743
Entity
Organization
Contact information
Practice address
404 SE 80TH AVE, PORTLAND, OR 97215
(503) 335-3201
(503) 662-6212
Mailing address
404 SE 80TH AVE, PORTLAND, OR 97215
(503) 335-3201
(503) 662-6212
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
09/27/2019
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