Miss Alter Ego Salon, LLC
NPI #1609409523 in Hillsboro, Oregon
Provider Information
- NPI Number
- 1609409523
- Entity Type
- Organization
- Organization Name
- Miss Alter Ego Salon, LLC
- Primary Specialty
- Specialist/Technologist, Other - Art, Medical
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Feb 19, 2020
Practice Location
Authorized Official
- Name
- TERRIE LYNNE KLOTZ
- Title
- OWNER/OPERATOR
- Phone
- (503) 206-9472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Art, Medical — Art, Medical |
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| Provider Name | |
|---|---|
| Terrie Lynne Klotz |  AI Deep Dive |
| MS. Kathleen Sue Sherwood, ATC | AI Deep Dive |
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| Culp Enterprises, Inc. | AI Deep Dive |
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