| Inner Brilliance | |
|
7642 Sw Capitol Hwy Portland OR 97219-2437 | |
| (406) 750-9267 | |
| Not Available |
| Full Name | Inner Brilliance |
|---|---|
| Speciality | Clinic/center |
| Location | 7642 Sw Capitol Hwy, Portland, Oregon |
| Authorized Official Name and Position | Olivia Rudio (OWNER) |
| Authorized Official Contact | 4067509267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Brilliance 10706 Sw Capitol Hwy Apt 47 Portland OR 97219-6874 Ph: (406) 750-9267 | Inner Brilliance 7642 Sw Capitol Hwy Portland OR 97219-2437 Ph: (406) 750-9267 |
| NPI Number | 1063214559 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063214559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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