Organization
MEEHA MINDBODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ADAN LAC (OWNER)
(773) 354-6789
Entity
Organization
Contact information
Practice address
2916 NE BROADWAY ST, PORTLAND, OR 97232-1897
(503) 894-6888
(503) 427-9553
Mailing address
1500 NE 15TH AVE APT 241, PORTLAND, OR 97232-4415
(773) 354-6789
(503) 427-9553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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