Organization
BAMBU CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KRISKO ND (OWNER/NATUROPATHIC PHYSICIAN)
(503) 274-9360
Entity
Organization
Contact information
Practice address
2256 N ALBINA AVE STE 160, PORTLAND, OR 97227-1774
(503) 274-9360
(503) 274-9370
Mailing address
2240 N INTERSTATE AVE STE 160, PORTLAND, OR 97227-1771
(503) 274-9360
(503) 274-9370
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1318
OR
Other
Enumeration date
05/23/2012
Last updated
07/07/2023
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