Organization · Type 2 NPI

Metamorphosis Center for Holistic Medicine, LLC

Medical Specialty Clinic/Center · Portland, OR

NPI number 1386785772 Active

Practice location

5909 SE Division St
Portland, OR 97206-1470

Fax (503) 234-2367

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XMD12762 (OR)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6 other providers at this address

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About NPI 1386785772

Metamorphosis Center for Holistic Medicine, LLC's National Provider Identifier is 1386785772, issued on Feb 9, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.