Organization
SPIRITUAL SELF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D SELF LINDSEY LMT (PRESIDENT)
(971) 241-0433
Entity
Organization
Contact information
Practice address
1300 NW ADAMS ST STE C, MCMINNVILLE, OR 97128-3550
(503) 883-0099
Mailing address
1272 SW EMMA DR, MCMINNVILLE, OR 97128-7642
(971) 241-0433
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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