institution
Wild Earth Wellness
Health Service Clinic/Center in Gresham, Oregon
NPI 1285159251

Wild Earth Wellness is a Health Service Clinic/Center based in Gresham, OR and is specialized in Health Service. Wild Earth Wellness practices in Gresham, OR. The NPI Number for Wild Earth Wellness is 1285159251 and holds a License No. 7615 (Oregon).

The current practice location address for Wild Earth Wellness is 24850 Se Stark St Ste 200, Gresham, OR and can be reached out via phone at 503-310-2622. You can also correspond with Wild Earth Wellness through the mailing address at 24850 SE STARK ST STE 200, GRESHAM, OR - 97030-8320 (mailing address contact number: 503-310-2622).

Location: 24850 Se Stark St Ste 200, Gresham, OR, 97030-8320
institution
Provider Profile Details
NPI Number
1285159251
Provider Name
Wild Earth Wellness
Credential
Provider Entity Type
Organization
Address
24850 Se Stark St Ste 200, Gresham, OR, 97030-8320
Phone Number
503-310-2622
Fax Number
Provider Enumeration Date
08/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164547634 01 NPI
institution
Provider Business Practice Location Address Details
Address
24850 Se Stark St Ste 200
City
State
Zip
97030-8320
Phone Number
503-310-2622
Fax Number
person
Provider Business Mailing Address Details
Address
24850 Se Stark St Ste 200
City
State
Zip
97030-8320
Phone Number
503-310-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
7615 (Oregon)
Definition
Definition to come...
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