Organization
GFM LLC
Active
Other names
Great Forest Medicine Acupuncture and Herbs
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ALLON IRVIN LAC (ACUPUNCTURIST)
(206) 305-8709
Entity
Organization
Contact information
Practice address
1235 SE DIVISION ST STE 114, PORTLAND, OR 97202-1042
(206) 305-8709
Mailing address
525 SE 41ST AVE APT 16, PORTLAND, OR 97214-3259
(206) 305-8709
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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