Organization
SEARLES WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONA SEARLES ANP, LAC (OWNER)
(503) 943-9842
Entity
Organization
Contact information
Practice address
2700 SE 26TH AVE, SUITE D, PORTLAND, OR 97202-1288
(503) 943-9842
Mailing address
2700 SE 26 AVE, SUITE D, PORTLAND, OR 97202
(503) 943-9842
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ANP 083040868N3
OR
261Q00000X
Clinic/Center
LAC AC00866
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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