Illo, Alisa Maia

Illo, Alisa Maia is an individual health care provider with primary practice located at 4246 Se Belmont St Ste 5 , Portland OR 97215-1676. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Illo, Alisa Maia can be contacted via phone (503) 445-8114.

Contact Information

Primary practice address
4246 Se Belmont St Ste 5 Portland OR 97215-1676
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X Oregon

Profile Details

NPI number 1811667462
LBN Legal business name Illo, Alisa Maia
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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