Wild Hearts Wellness LLC

NPI #1063957330 in Portland, Oregon

Provider Information

NPI Number: 1063957330
Entity Type: Organization
Organization Name: Wild Hearts Wellness LLC
Primary Specialty: Acupuncturist
Enumeration Date: Dec 22, 2016
Last Updated: Dec 22, 2016

Practice Location

Address: 4423 NE TILLAMOOK ST
City: Portland
State: Oregon
ZIP Code: 97213-1317
Phone: (971) 400-6063

Authorized Official

Name: MAURA DAWGERT, L.AC.
Title: OWNER, ACUPUNCTURIST
Phone: (971) 400-6063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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