Organization
MINDFUL GROWTH AND WELLNESS LLC
Active
Other names
Emily DeMarco, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY TESS DEMARCO MD (MANAGING MEMBER)
(503) 758-9588
Entity
Organization
Contact information
Practice address
4824 NE 42ND AVE # 177, PORTLAND, OR 97218-1661
(503) 758-9588
Mailing address
4824 NE 42ND AVE # 177, PORTLAND, OR 97218-1661
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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