Organization
SUNNYSIDE COLLABORATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SATYA AMBROSE ND, LAC (OWNER)
(503) 658-7715
Entity
Organization
Contact information
Practice address
16144 SE HAPPY VALLEY TOWN CENTER DR, SUITE 214, HAPPY VALLEY, OR 97086-4257
(503) 658-7715
(503) 658-7181
Mailing address
16144 SE HAPPY VALLEY TOWN CENTER DR, SUITE 214, HAPPY VALLEY, OR 97086-4257
(503) 658-7715
(503) 658-7181
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
100484898
OR
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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