Foundations Health And Wellness Center Llc

NPI 1760801310 - Chiropractor - 111N00000X

NPI Details
NPI 1760801310
Enumeration Date 04/10/2014
Last Updated 04/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHAEL JOHN MICHAEL
Position OWNER
Phone (503) 845-9373
Fax (503) 845-6030
Practice Location
165 N MAIN ST
MOUNT ANGEL OR, 97362-9631, US
Phone (503) 845-9373
Fax (503) 845-6030
Business Location
PO BOX 289
MOUNT ANGEL OR, 97362-0289, US
Phone (503) 845-9373
Fax (503) 845-9373
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 5520
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According to our database, Foundations Health And Wellness Center Llc NPI is 1760801310, taxonomy code is 111N00000X and license number is 5520, license state is located at Oregon. Foundations Health And Wellness Center Llc physically located at 165 N Main St, Mount Angel OR, 97362-9631. NPI Number 1033115704 has the healthcare provider type.

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1760801310 NPI number is provided on an as is basis without warranty of any kind. 1760801310 is maintained by the National Plan & Provider Enumeration System. The contents of Foundations Health And Wellness Center Llc are for informational purposes only.