The Wellness Cooperative

NPI #1184340291 in Astoria, Oregon

Provider Information

NPI Number: 1184340291
Entity Type: Organization
Organization Name: The Wellness Cooperative
Primary Specialty: Family Medicine
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 714 HARRISON AVE
City: Astoria
State: Oregon
ZIP Code: 97103-4738
Phone: (503) 791-2816

Authorized Official

Name: TONYA LEE FREDERICK, APRN
Title: FOUNDING MEMBER, FNP-C
Phone: (503) 791-2816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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