Organization
AVALON HOLISTIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE KRISTINE HALL-POND LMT (OWNER/MANAGING MEMBER)
(503) 544-2463
Entity
Organization
Contact information
Practice address
2927 SE 73RD AVE, HILLSBORO, OR 97123-6223
(503) 640-7722
(503) 649-8884
Mailing address
2945 SE 73RD AVE, HILLSBORO, OR 97123-6223
(503) 544-2463
(360) 828-7866
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
17372
OR
Other
Enumeration date
07/11/2011
Last updated
10/12/2021
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