Wildwood Reconnections Llc

NPI 1508034745 - Acupuncturist - 171100000X

NPI Details
NPI 1508034745
Enumeration Date 02/11/2008
Last Updated 11/13/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM DAVID WILLIAM
Position OWNER/PRESIDENT
Phone (503) 252-2949
Fax
Practice Location
305 NE 78THE AVE
PORTLAND OR, 97213, US
Phone (503) 252-2949
Fax
Business Location
305 NE 78THE AVE
PORTLAND OR, 97213, US
Phone (503) 252-2949
Fax
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC01062
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According to our database, Wildwood Reconnections Llc NPI is 1508034745, taxonomy code is 171100000X and license number is AC01062, license state is located at Oregon. Wildwood Reconnections Llc physically located at 305 Ne 78the Ave, Portland OR, 97213. NPI Number 1033115704 has the healthcare provider type.

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1508034745 NPI number is provided on an as is basis without warranty of any kind. 1508034745 is maintained by the National Plan & Provider Enumeration System. The contents of Wildwood Reconnections Llc are for informational purposes only.