Tigard Holistic Health Clinic, LLC

NPI #1053670117 in Tigard, Oregon

Provider Information

NPI Number
1053670117
Entity Type
Organization
Organization Name
Tigard Holistic Health Clinic, LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
11930 SW GREENBURG RD
City
Tigard
State
Oregon
ZIP Code
97223-6453
Phone
(503) 639-1712

Authorized Official

Name
DR. STACEY LYNN RAFFETY, ND
Title
OWNER
Phone
(503) 639-1712

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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