Organization
WILLOW ROOT MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THORN AM WILLOW ND (MEMBER)
(503) 309-0376
Entity
Organization
Contact information
Practice address
16444 SE 135TH AVE, CLACKAMAS, OR 97015-8932
(503) 309-0376
Mailing address
16444 SE 135TH AVE, CLACKAMAS, OR 97015-8932
(503) 309-0376
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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