Organization
NORTHWEST LICE CENTERS INC
Active
Other names
Lice Clinics of America
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S MEYER (PRESIDENT)
(503) 724-4204
Entity
Organization
Contact information
Practice address
5201 SW WESTGATE DR, SUITE 106, PORTLAND, OR 97221-2412
(503) 404-0475
Mailing address
PO BOX 25829, PORTLAND, OR 97298-0829
(503) 404-0475
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
OR
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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