Organization Name: | SONG BIRD HEALING ARTS LLC |
NPI Number: | 1316113475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL ANN ZAMARRA (OWNER) |
Mailing Address: | 3835 Sw 185th Ave Ste 200 Aloha |
State: | OR US |
Postal Code: | 970071553 |
Phone Number: | 5035918855 |
Fax Number: | 5035911595 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 1519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |