Provider Demographics
NPI:1316113475
Name:SONG BIRD HEALING ARTS LLC
Entity type:Organization
Organization Name:SONG BIRD HEALING ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZAMARRA
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LMT
Authorized Official - Phone:503-591-8855
Mailing Address - Street 1:3835 SW 185TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007-1553
Mailing Address - Country:US
Mailing Address - Phone:503-591-8855
Mailing Address - Fax:503-591-1595
Practice Address - Street 1:3835 SW 185TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97007-1553
Practice Address - Country:US
Practice Address - Phone:503-591-8855
Practice Address - Fax:503-591-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1519261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care