EVOLUTION HEALTHCARE, REHAB., & FITNESS
Ambulatory Health at Irving St, Portland, OR

License number
Oregon 3851
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. BRAD FARRA DC
Title: OWNER
Phone: (503) 975-6566
Address
Address
2332 NW Irving St, Portland, OR 97210
National Provider ID: 1730596511
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EVOLUTION HEALTHCARE, REHAB., & FITNESS at bizstanding.com

EVOLUTION HEALTHCARE, REHAB., & FITNESS, PC

Portland, OR

Registration:
Aug 4, 2014
Addresses:
905 SE Ankeny St, Portland, OR 97214 (Physical)
905 SE Ankeny Streetad, Portland, OR 97214 (Mailing)
State ID:
103868691
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Brad Farra,905 SE Ankeny St, Portland, OR 97214 (Physical)

EVOLUTION HEALTHCARE, REHAB., & FITNESS

4279 SE Harvey St, Portland, OR 97222

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Evolution Healthcare, Rehab., & Fitness, LLC
Registration:
Jul 14, 2014
State ID:
103394094
Business type:
ASSUMED BUSINESS NAME
Agent:
Brad Farra,4279 SE Harvey St, Portland, OR 97222 (Physical)

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