ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC NPI is 1356905855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4035 SE 52ND AVE STE B
PORTLAND, OR
ZIP 97206-913
Phone: (503) 482-7556
Fax: (971) 244-9171
The provider's authorized official is Kirsten Karen Isakson .
The authorized official title is Managing Member and has the following contact phone number (971) 229-2140.
The enumeration date for this NPI number is 4/30/2019 and was last updated on 3/30/2022.