Roses Thorn Electrology Group LLC

NPI #1275331605 in Portland, Oregon

Provider Information

NPI Number: 1275331605
Entity Type: Organization
Organization Name: Roses Thorn Electrology Group LLC
Primary Specialty: Specialist
Enumeration Date: Mar 3, 2025
Last Updated: Mar 3, 2025

Practice Location

Address: 1954 SE 182ND AVE # 201
City: Portland
State: Oregon
ZIP Code: 97233-5602
Phone: (503) 660-8468

Authorized Official

Name: MAX L LAVALLEE, LE
Title: LICENSED ELECTROLOGIST
Phone: (503) 676-4799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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