BOLY HEALTH AND EDUCATION, LLC


Address: 2607 Nw Thurman St, Portland, OR 97210-2202
Phone: 5039984281

BOLY HEALTH AND EDUCATION, LLC (NPI# 1811441652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811441652
Entity Type Organization
Organization Name BOLY HEALTH AND EDUCATION, LLC
Practice Address 2607 Nw Thurman St
Portland
OR 97210-2202
Mailing Address 6223 Sw Southwood Dr
Portland
OR 97219-8050
Practice Telephone 5039984281
Mailing Telephone 5039984281
Enumeration Date 2016-08-10
Last Update Date 2016-08-10
Authorized Official Name MS. HILAREY BOLY (PROPRITOR)
Authorized Official Telephone 5039984281
Authorized Official Credential LAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
AC01068 OR Ambulatory Health Care Facilities

Office Location

Street Address 2607 NW THURMAN ST
City PORTLAND
State OR
Zip Code 97210-2202

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1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
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1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1801452818 Everybody Wellness, LLC Clinic/Center 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 2019-05-15
1114433802 Thriving Acupuncture Clinic/Center 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 2017-12-18
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1417484460 Be Well Acupuncture Clinic/Center 3125 Ne Holladay St # B, Portland, OR 97232-2504 2017-05-20
1073927158 Personal Fitness and Consulting Clinic/Center 12014 Se Schiller St, Portland, OR 97266-3258 2014-06-17
1427475698 Eternal Spring Massage Clinic/Center 7048 Se Milwaukie Ave, Portland, OR 97202-5719 2014-03-25
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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