Metamorphosis Center For Holistic Medicine, Llc in Portland - Medical Specialty
Metamorphosis Center For Holistic Medicine, Llc - NPI 1386785772
Metamorphosis Center For Holistic Medicine, Llc is a Medical Specialty in Portland, Oregon. Metamorphosis Center For Holistic Medicine, Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Metamorphosis Center For Holistic Medicine, Llc is 1386785772. The last update date is 2020-08-22.
Metamorphosis Center For Holistic Medicine, Llc's current location address is 5909 Se Division St, Portland, Oregon. You can contact this provider via phone number 5032341531 and fax number 5032342367. The mailing address for Metamorphosis Center For Holistic Medicine, Llc is 5909 Se Division St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Metamorphosis Center For Holistic Medicine, Llc |
|---|---|
| Address | 5909 Se Division St, Portland, Oregon |
| Phone Number | 5032341531 |
| Fax Number | 5032342367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHYS |
|---|---|
| Authorized Official Name | Green Glasser Debra |
| Credentials | M.D. |
| Telephone Number | 5032341531 |
NPI Number Detail
| NPI Number | 1386785772 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5909 Se Division St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972061470 |
| Phone Number | 5032341531 |
| Fax Number | 5032342367 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | MD12762 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the Metamorphosis Center For Holistic Medicine, Llc's 1386785772?
The Metamorphosis Center For Holistic Medicine, Llc's NPI (National Provider Identifier) Number is 1386785772. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Metamorphosis Center For Holistic Medicine, Llc's facilities are situated?
The facilities of Metamorphosis Center For Holistic Medicine, Llc are physically located at the following address: 5909 Se Division St, Portland, OR, 972061470.
What is Metamorphosis Center For Holistic Medicine, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Metamorphosis Center For Holistic Medicine, Llc is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386785772 to Metamorphosis Center For Holistic Medicine, Llc?
The Metamorphosis Center For Holistic Medicine, Llc received its 1386785772 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information regarding Metamorphosis Center For Holistic Medicine, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Metamorphosis Center For Holistic Medicine, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.