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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC

Active Organization

Clinic/Center · PORTLAND, OR

Registration Details

NPI Number
1356905855
Provider Type
Organization
NPI Issued
Apr 30, 2019 (6.975255309308 yrs)
Last Updated
Mar 30, 2022

Practice Information

Address
4035 SE 52ND AVE STE B
PORTLAND, OR, 972063913
Browse OR providers · Browse ZIP 97206
Phone
5034827556
Fax
9712449171
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Acupuncturist
Additional Specialty
Naturopath
Additional Specialty
Neuromuscular Medicine
Additional Specialty
Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.