Organization
YESYES HEALING GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOZEL LAC (CLINIC MANAGER)
(503) 446-5383
Entity
Organization
Contact information
Practice address
1626 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 446-5383
Mailing address
1614 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 446-5383
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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