Organization
RISE COLLECTIVE BOULDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MORENO (EXECUTIVE DIRECTOR)
(303) 442-7473
Entity
Organization
Contact information
Practice address
1810 30TH ST STE B, BOULDER, CO 80301-1025
(303) 442-7473
Mailing address
1810 30TH ST STE B, BOULDER, CO 80301-1025
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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