Pluck Girl

NPI #1003360132 in Portland, Oregon

Provider Information

NPI Number: 1003360132
Entity Type: Organization
Organization Name: Pluck Girl
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2016
Last Updated: Aug 5, 2016

Practice Location

Address: 2207 NE BROADWAY ST
Address 2: STE 123
City: Portland
State: Oregon
ZIP Code: 97232-1693
Phone: (503) 914-7890

Authorized Official

Name: MRS. LANA BLUE ZEITLER, LE
Title: ELECTROLYSIS
Phone: (530) 914-7890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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