NPI 1003360132

Pluck Girl

Organisation Specialist Portland, OR

Practice location

Address: 2207 NE Broadway St STE 123, Portland, OR 97232-1693
Phone: (503) 914-7890

Authorised official

Name: Lana Blue Zeitler
Title: Electrolysis
Phone: (530) 914-7890

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence BAP-E-10174041 (OR)

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Registry record

NPI: 1003360132
Entity type: Organization
NPI issued: 5 Aug 2016
Record last updated: 5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.