Organization
ROSEMARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BOYDEN OWENS ND (OWNER)
(503) 335-3201
Entity
Organization
Contact information
Practice address
404 SE 80TH AVE, PORTLAND, OR 97215-1528
(503) 335-3201
(503) 662-6212
Mailing address
404 SE 80TH AVE, PORTLAND, OR 97215-1528
(503) 335-3201
(503) 662-6212
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NT 00001322
WA
Other
Enumeration date
03/10/2011
Last updated
09/19/2019
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