| Imoleaye LLC | |
|
8101 Sw Nyberg St Ste 106 Tualatin OR 97062-9464 | |
| (503) 470-5157 | |
| Not Available |
| Full Name | Imoleaye LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 8101 Sw Nyberg St Ste 106, Tualatin, Oregon |
| Authorized Official Name and Position | Nazeneem Sarah Kleiman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5034705157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imoleaye LLC 8101 Sw Nyberg St Ste 106 Tualatin OR 97062-9464 Ph: (503) 470-5157 | Imoleaye LLC 8101 Sw Nyberg St Ste 106 Tualatin OR 97062-9464 Ph: (503) 470-5157 |
| NPI Number | 1457259111 |
|---|---|
| Provider Enumeration Date | 10/30/2026 |
| Last Update Date | 10/30/2026 |
| Certification Date | 10/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457259111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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