Organization Name: | ACORN HEALING ARTS, LLC |
NPI Number: | 1235239203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORI J MONTAGNE (OWNER/PROVIDER) |
Mailing Address: | 1616 Sw Sunset Blvd Suite E Portland |
State: | OR US |
Postal Code: | 972392641 |
Phone Number: | 5032451459 |
Fax Number: | 5032932023 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 092000262N5 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |