Organization
CELILO NATURAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORNA IZAKSON ND (OWNER, PHYSICIAN)
(503) 335-9479
Entity
Organization
Contact information
Practice address
4921 NE 28TH AVE, PORTLAND, OR 97211-6336
(503) 335-9479
(503) 575-9229
Mailing address
4921 NE 28TH AVE, PORTLAND, OR 97211-6336
(503) 335-9479
(503) 575-9229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1686
OR
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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