Organization · Type 2 NPI

The Golden Room LLC

Specialist · Portland, OR

NPI number 1205172913 Active

Practice location

636 SE 49th Ave
Portland, OR 97215-1728

Call (971) 506-4560 Map

Mailing address

4360 NE Simpson St
Portland, OR 97218-1444

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X8161 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205172913

The Golden Room LLC's National Provider Identifier is 1205172913, issued on Dec 27, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 27, 2012.