Mountain Lake Wellness Llc

LBN: Mountain Lake Wellness Llc
Mountain Lake Wellness Llc is an health care organization with primary practice located at 2442 Se 101St Ave Suite 308, Portland OR 97216-3060. The organization recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as the primary health care specialty. Mountain Lake Wellness Llc can be contacted via phone (503) 828-3050, or through Huddart, Leslie via phone (503) 828-3050.

Contact Information

Primary practice address
2442 Se 101St Ave Suite 308 Portland OR 97216-3060
Phone: (503) 828-3050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Huddart, Leslie Licensed Acupuncturist (LAC)
Phone: (503) 828-3050

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC153196 Oregon

Profile Details

NPI number 1841545092
LBN Legal business name Mountain Lake Wellness Llc
DBA Doing business as
Authorized official Huddart, Leslie Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2012
Last updated Jul 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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