EVERGREEN INTEGRATIVE MEDICINE, LLC
Ambulatory Health at 13 Ave, Portland, OR

License number
Oregon 1333
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. SHAWN SCOTT SOSZKA ND, LAC
Title: MEMBER/MANAGER
Phone: (503) 567-2184
Address
Address
7215 SE 13Th Ave, Portland, OR 97202
National Provider ID: 1407237175
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EVERGREEN INTEGRATIVE MEDICINE, LLC at bizstanding.com

EVERGREEN INTEGRATIVE MEDICINE, LLC

2135 SE Nehalem St #20, Portland, OR 97202

Registration:
May 27, 2015
State ID:
111635793
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Incorp Services, Inc,5305 N Riv Rd STE B1, Salem, OR 97303 (Physical)

Ambulatory Health licenses in Oregon










Other Doctors licenses in Oregon