The Medical Wellness Clinic, LLC

NPI #1295922755 in Lake Oswego, Oregon

Provider Information

NPI Number: 1295922755
Entity Type: Organization
Organization Name: The Medical Wellness Clinic, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 28, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 4035 MERCANTILE DR
Address 2: SUITE 101
City: Lake Oswego
State: Oregon
ZIP Code: 97035-2546
Phone: (503) 697-3001

Authorized Official

Name: STEPHEN A WEIL, MD
Title: CLINIC DIRECTOR
Phone: (503) 697-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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