Organization
MAGNOLIA HEALING ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA CATTLIN (LAC)
(503) 975-9798
Entity
Organization
Contact information
Practice address
1235 SE DIVISION ST STE 115, PORTLAND, OR 97202-1085
(503) 975-9798
Mailing address
1235 SE DIVISION ST STE 115, PORTLAND, OR 97202-1085
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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