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Contact Information

TABULA RASA ELECTROLYSIS LLC
1975 NW 167TH PL STE 53
BEAVERTON, OR97006-4908
 Phone: 503-770-0170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for TABULA RASA ELECTROLYSIS LLC

NPI # 1700751203
LBN Legal business name TABULA RASA ELECTROLYSIS LLC
Authorized official DANIEL ROGERS - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2025
Last updated 10/06/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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