Emerald Wellness, P.c.

NPI #1184833139 in Creswell, Oregon

Provider Information

NPI Number: 1184833139
Entity Type: Organization
Organization Name: Emerald Wellness, P.c.
Primary Specialty: General Practice
Enumeration Date: May 22, 2007
Last Updated: May 2, 2012

Practice Location

Address: 300 N MILL ST STE A
City: Creswell
State: Oregon
ZIP Code: 97426-9848
Phone: (541) 895-5300

Authorized Official

Name: DR. RICHARD A. HANSEN, M.D.
Title: PRESIDENT
Phone: (541) 895-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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