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Organization

PATH SOLARIS LLC

Active
Other names
Dr. Michelle Yan, DSOM, LAc.
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE YAN DSOM, LA., (DR)
(415) 254-4445
Entity
Organization

Contact information

Practice address
1842 NW 25TH AVE STE D, PORTLAND, OR 97210-2568
(415) 254-4445
Mailing address
1842 NW 25TH AVE STE D, PORTLAND, OR 97210-2568
(415) 254-4445

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164043022
OR
Enumeration date
03/24/2021
Last updated
03/24/2021
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