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Organization

MDBL. LLC

Active
Other names
MDBeauty Lab
Organization subpart
No

Provider details

NPI number
Authorized official
CHERI BELL (PRACTICE ADMINISTRATOR)
(503) 928-3001
Entity
Organization

Contact information

Practice address
1200 NW NAITO PKWY, STE 330, PORTLAND, OR 97209-2878
(503) 855-6001
Mailing address
1200 NW NAITO PKWY, STE 330, PORTLAND, OR 97209-2878
(503) 855-6001

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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