Organization
ARBORA COLLECTIVE LLC
Active
Parent organization
ARBORA MEDICAL SPA
Other names
Arbora Medical Spa
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARBORA MEDICAL SPA
Authorized official
ELISABETH HERNANDEZ MSN, APRN-CNS, CCM (MEDICAL DIRECTOR)
(541) 600-0878
Entity
Organization
Contact information
Practice address
935 WILLAGILLESPIE RD STE A, EUGENE, OR 97401-2106
(541) 600-0878
(541) 854-4000
Mailing address
935 WILLAGILLESPIE RD STE A, EUGENE, OR 97401-2106
(541) 600-0878
(541) 854-4000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871222430
—
OR
Enumeration date
06/21/2024
Last updated
06/21/2024
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