GIFT OF LIFE CLINIC
Midwife at Broadway St, Portland, OR

License number
Oregon 7621
Category
Medical Practice
Type
Specialist
License number
Oregon 1481 & 1618
Category
Naturopathic
Type
Naturopath
License number
Oregon 84-OB
Category
Midwife
Type
Midwife
Owner
Name: DR. MIA CRUPPER N.D., L.M.T
Title: CO-OWNER, NATUROPATHIC DOCTOR
Phone: (503) 235-2259
Address
Address
4259 NE Broadway St, Portland, OR 97213
National Provider ID: 1407128309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GIFT OF LIFE CLINIC at bizstanding.com

GIFT OF LIFE CLINIC, LLC

Portland, OR

Industry:
Health/Allied Services
Doing business as:
Gift of Life Clinic
Registration:
Apr 22, 2009
Site:
giftoflifeclinic.com
Phone:
(503) 235-2259 (Phone)
Addresses:
4259 NE Broadway, Portland, OR 97213 (Mailing)
4259 NE Broadway St, Portland, OR 97213
State ID:
59682790
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Nds:
Mia Crupper (Nd, Lmt , Principal),Michael L. Crupper (Nd)
Agent:
Michael Crupper,4259 NE Broadway, Portland, OR 97213 (Physical)
Categories:
Clinics

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