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Organization

FOUNDATIONS CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN BEEDENBENDER (OWNER)
(860) 614-4878
Entity
Organization

Contact information

Practice address
1305 NE FREMONT ST, PORTLAND, OR 97212-2218
(860) 614-4878
Mailing address
1305 NE FREMONT ST, PORTLAND, OR 97212-2218
(860) 614-4878

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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