Organization · Type 2 NPI

Illumination Rock Integrative Medicine, LLC

Clinic/Center · Portland, OR

NPI number 1356905855 Active

Practice location

4035 SE 52nd Ave Ste B
Portland, OR 97206-3913

Call (503) 482-7556 Map

Fax (971) 244-9171

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000XNone listed
Naturopath 175F00000XNone listed
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Massage Therapist 225700000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10 other providers at this address

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About NPI 1356905855

Illumination Rock Integrative Medicine, LLC's National Provider Identifier is 1356905855, issued on Apr 30, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Mar 30, 2022.