Mom by Lj
Mom by Lj provides Specialist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
2906 N Willamette BlvdPortland, OR 97217-4073
Phone: (917) 715-9617
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1169 (OR) |
|---|
Record details
| NPI number | 1942734736 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Hulick — Owner · (917) 715-9617 |
| NPI enumerated | April 18, 2017 |
| Last updated in NPPES | April 18, 2017 |
| Mailing address | 2906 N Willamette Blvd, Portland, OR 97217-4073 |
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