Organization
MINDFUL YOGA WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M CARSON MPH (REGISTERED AGENT)
(503) 975-7869
Entity
Organization
Contact information
Practice address
2324 SW MITCHELL ST, PORTLAND, OR 97239-2127
(503) 975-7869
Mailing address
2324 SW MITCHELL ST, PORTLAND, OR 97239-2127
(503) 975-7869
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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