Organization
ACG GROUP
Active
Other names
Lilith Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NADYA VOLKOFF (MANAGER)
(503) 884-0842
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE STE 904, PORTLAND, OR 97205-2710
(503) 221-1870
(503) 389-7945
Mailing address
511 SW 10TH AVE STE 904, PORTLAND, OR 97205-2710
(503) 221-1870
(503) 389-7945
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
07/01/2021
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