ZOCALO WELLNESS, LLC
Ambulatory Health at Broadway St, Portland, OR

License number
Oregon AC156050
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: ADRIANNA NICHOLE LOCKE L.AC
Title: OWNER
Phone: (503) 724-4321
Address
Address
2100 NE Broadway St STE 225, Portland, OR 97232
National Provider ID: 1336513662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ZOCALO WELLNESS, LLC at bizstanding.com

ZOCALO WELLNESS LLC

2100 NE Broadway St #225, Portland, OR 97266

Registration:
Nov 24, 2014
State ID:
106459191
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Adrianna Locke,2100 NE Broadway St #225, Portland, OR 97266 (Physical)

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