Organization
LAMB OF GOD CLOTHING AND ACCESSORIES
Active
Other names
The Lamb Art Studio
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSIA JOHNSON THW, PSS (FOUNDER & DIRECTOR)
(503) 451-3385
Entity
Organization
Contact information
Practice address
259 NW MILLER AVE, GRESHAM, OR 97030-7260
(503) 451-3385
Mailing address
259 NW MILLER AVE, GRESHAM, OR 97030-7260
(503) 451-3385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952097230
—
OR
Enumeration date
07/16/2025
Last updated
07/22/2025
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