NPI Details | |
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NPI | 1578730982 |
Enumeration Date | 05/14/2008 |
Last Updated | 05/14/2008 |
Entity Type | Healthcare Provider |
Active | Over 9 years ago |
Authorized Information | |
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Name | ANGELA ANGELA |
Position | ACUPUNCTURIST |
Phone | (503) 777-2776 |
Fax |
Practice Location | |
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4512 SE WOODSTOCK BLVD PORTLAND OR, 97206-6274, US |
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Phone | (503) 777-2776 |
Fax |
Business Location | |
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4512 SE WOODSTOCK BLVD PORTLAND OR, 97206-6274, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 171100000X |
License State | Oregon |
License Number | AC00513 |
Remove 1578730982 NPI Number |
According to our database, Woodstock Wellness Center Llc NPI is 1578730982, taxonomy code is 171100000X and license number is AC00513, license state is located at Oregon. Woodstock Wellness Center Llc physically located at 4512 Se Woodstock Blvd, Portland OR, 97206-6274. NPI Number 1033115704 has the healthcare provider type.
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1578730982 NPI number is provided on an as is basis without warranty of any kind. 1578730982 is maintained by the National Plan & Provider Enumeration System. The contents of Woodstock Wellness Center Llc are for informational purposes only.
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