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Organization

PORTLAND HEALING SPACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH GILES DC (OWNER/CHIROPRACTOR)
(503) 894-9437
Entity
Organization

Contact information

Practice address
1830 NE GRAND AVE, PORTLAND, OR 97212-3912
(503) 894-9437
(503) 894-9437
Mailing address
1830 NE GRAND AVE, PORTLAND, OR 97212-3912
(503) 894-9437
(503) 894-9437

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5084
171100000X
Acupuncturist
225700000X
Massage Therapist

Other

Enumeration date
06/25/2014
Last updated
07/15/2014
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