Organization · NPI-2

Acupuncture And Wellness Hq LLC

Clinic/Center · Portland, OR

NPI number1942075833
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1942075833
Entity type
Organization (NPI-2)
Legal business name
Acupuncture And Wellness Hq LLC
Organization subpart
No
Enumeration date
Nov 20, 2023
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1524 Se Malden St
Portland, OR 97202-6052

Phone 919-800-9663

Mailing address

1524 Se Malden St
Portland, OR 97202-6052

Phone 919-800-9663

Authorized official

Carla Thomas
Owner
9198009663

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