Organization
BOLY HEALTH AND EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILAREY BOLY LAC (PROPRITOR)
(503) 998-4281
Entity
Organization
Contact information
Practice address
2607 NW THURMAN ST, PORTLAND, OR 97210-2202
(503) 998-4281
Mailing address
6223 SW SOUTHWOOD DR, PORTLAND, OR 97219-8050
(503) 998-4281
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC01068
OR
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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