Organization · Type 2 NPI

Glamour and Grace Aesthetics LLC

Other Specialist/Technologist · Wood Village, OR

NPI number 1174465348 Active

Practice location

1110 NE Wood Village Blvd
Wood Village, OR 97060-2668

Fax (312) 600-4447

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Another provider at this address

About NPI 1174465348

Glamour and Grace Aesthetics LLC's National Provider Identifier is 1174465348, issued on Apr 7, 2026. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Wood Village, OR. The record was last updated on Apr 7, 2026.