WILDWOOD FAMILY MEDICINE, LLC
Ambulatory Health at John Ave, Portland, OR

License number
Oregon 1974
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. LISA BRYANT N.D.
Title: OWNER
Phone: (360) 903-4866
Address
Address 2
7319 N John Ave #101, Portland, OR 97203
315 W 24Th St, Vancouver, WA 98660
National Provider ID: 1952718579
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WILDWOOD FAMILY MEDICINE, LLC at bizstanding.com

WILDWOOD FAMILY MEDICINE, LLC

Portland, OR  -  Vancouver, WA

Registration:
Oct 28, 2013
Addresses:
7319 N John Ave #101, Portland, OR 97203 (Physical)
315 W 24 St, Vancouver, WA 98660 (Mailing)
State ID:
97335492
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Lisa Bryant,7319 N John Ave #101, Portland, OR 97203 (Physical)

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