| Celebrity Medical Spa | |
|
12325 Sw Horizon Blvd Ste 35 Beaverton OR 97007-9474 | |
| (503) 430-0944 | |
| Not Available |
| Full Name | Celebrity Medical Spa |
|---|---|
| Speciality | Clinic/center |
| Location | 12325 Sw Horizon Blvd Ste 35, Beaverton, Oregon |
| Authorized Official Name and Position | Crystal Luna (NURSE PRACTITIONER) |
| Authorized Official Contact | 5034300944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrity Medical Spa 12325 Sw Horizon Blvd Ste 35 Beaverton OR 97007-9474 Ph: (503) 430-0944 | Celebrity Medical Spa 12325 Sw Horizon Blvd Ste 35 Beaverton OR 97007-9474 Ph: (503) 430-0944 |
| NPI Number | 1568172252 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568172252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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