- Practice location
- 6975 SW Sandburg St, Tigard, OR 97223-8073
- Phone
- 480-938-6189
- Fax
- —
- Last updated
- August 31, 2023
Eden Wellness Center Corporation LLC is a healthcare organization based in Tigard, OR. Eden Wellness Center Corporation LLC practices in Tigard, OR. The NPI Number for Eden Wellness Center Corporation LLC is 1487430971. The current practice location address for Eden Wellness Center Corporation LLC is 6975 SW Sandburg St, Tigard, OR 97223-8073 and can be reached out via phone at 480-938-6189.
Provider Profile Details
- NPI Number
- 1487430971
- Provider Name
- Eden Wellness Center Corporation LLC
- Provider Entity Type
- Organization
- Address
- 6975 SW Sandburg St, Tigard, OR 97223-8073
- Phone Number
- 480-938-6189
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Ntare Serge Sandrali · Partner · 480-938-6189
- Provider Enumeration Date
- August 31, 2023
- Last Update Date
- August 31, 2023
- Certification Date
- August 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6975 SW Sandburg St
Tigard, OR 97223-8073 - City
- Tigard
- State
- Oregon
- Zip
- 97223-8073
- Phone Number
- 480-938-6189
Provider Business Mailing Address Details
- Address
- 6975 SW Sandburg St
Tigard, OR 97223-8073 - City
- Tigard
- State
- OR
- Zip
- 97223-8073
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eden Wellness Center Corporation LLC?
The NPI number of Eden Wellness Center Corporation LLC is 1487430971. It was assigned on August 31, 2023 and is currently active in the NPPES registry.
What is the specialty of Eden Wellness Center Corporation LLC?
Eden Wellness Center Corporation LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Eden Wellness Center Corporation LLC practice?
The practice location is 6975 SW Sandburg St, Tigard, OR 97223-8073. The office can be reached at 480-938-6189 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487430971 directly on the NPPES registry website.