Wild Earth Wellness
NPI #1285159251 in Gresham, Oregon
Provider Information
- NPI Number
- 1285159251
- Entity Type
- Organization
- Organization Name
- Wild Earth Wellness
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 10, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MRS. JENNIFER MARIE BOOM, LMT
- Title
- OWNER
- Phone
- (503) 310-2622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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