Organization
CELEBRITY MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL LUNA FNP-BC (NURSE PRACTITIONER)
(503) 430-0944
Entity
Organization
Contact information
Practice address
12325 SW HORIZON BLVD STE 35, BEAVERTON, OR 97007-9474
(503) 430-0944
Mailing address
12325 SW HORIZON BLVD STE 35, BEAVERTON, OR 97007-9474
(503) 430-0944
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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