Organization · Type 2 NPI

Morgan Costley Lac LMT LLC

Health Service Clinic/Center · Beaverton, OR

NPI number 1609579879 Active

Practice location

1975 NW 167th Pl Ste 100
Beaverton, OR 97006-4908

Call (503) 560-0843 Map

Mailing address

2503 NE 59th Ave
Portland, OR 97213-4011

Other practice locations

  • 1927 NE Saratoga St, Portland, OR 97211-5236 · (503) 560-0843

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Health Service Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1609579879

Morgan Costley Lac LMT LLC's National Provider Identifier is 1609579879, issued on Mar 24, 2023. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Beaverton, OR. The record was last updated on Mar 24, 2023.