Bridge City Electrology and Aesthetics

NPI #1437031507 in Portland, Oregon

Provider Information

NPI Number: 1437031507
Entity Type: Organization
Organization Name: Bridge City Electrology and Aesthetics
Primary Specialty: Specialist
Enumeration Date: Jul 21, 2025
Last Updated: Jul 21, 2025

Practice Location

Address: 2031 SE BELMONT ST
City: Portland
State: Oregon
ZIP Code: 97214-2812
Phone: (503) 894-6134

Authorized Official

Name: RAYNA DELAROSE BOLTON, LE
Title: ELECTROLOGIST
Phone: (256) 929-8845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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