Organization
HALCYON MEDICAL LLC
Active
Other names
Oregon Medical & Laser
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MUNCRIEF ND (MEMBER)
(503) 839-2376
Entity
Organization
Contact information
Practice address
2232 NW PETTYGROVE ST, PORTLAND, OR 97210-2372
(503) 395-7736
Mailing address
PO BOX 14772, PORTLAND, OR 97293-0772
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
04/29/2024
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