Organization
GLIMMER ELECTROLYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAYLIN MITCHELL (OWNER)
(971) 322-5909
Entity
Organization
Contact information
Practice address
16239 SE MCLOUGHLIN BLVD STE 208, PORTLAND, OR 97267-4654
(971) 322-5909
Mailing address
13424 SE 169TH AVE APT A112, HAPPY VALLEY, OR 97015-8744
(971) 322-5909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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