THE GOLDEN ROOM LLC is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE GOLDEN ROOM LLC NPI is 1205172913. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
636 SE 49TH AVE PORTLAND, OR ZIP 97215-728 Phone: (971) 506-4560
The provider's authorized official is Mauri Mckitrick . The authorized official title is Owner/lmt and has the following contact phone number (971) 506-4560.
The enumeration date for this NPI number is 12/27/2012 and was last updated on 12/27/2012.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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