Organization
OHANA PROVIDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA BODNAR (MANAGER)
(406) 290-9769
Entity
Organization
Contact information
Practice address
111 N HIGGINS AVE STE 600, MISSOULA, MT 59802-4494
(206) 406-6729
Mailing address
111 N HIGGINS AVE STE 600/ P.O. BOX 4747, MISSOULA, MT 59802-4494
(206) 406-6729
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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