Weichert Wellness, LLC

NPI #1790109023 in Manzanita, Oregon

Provider Information

NPI Number: 1790109023
Entity Type: Organization
Organization Name: Weichert Wellness, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 6, 2014
Last Updated: Feb 6, 2014

Practice Location

Address: 123 LANEDA AVENUE
City: Manzanita
State: Oregon
ZIP Code: 97130
Phone: (503) 369-4393

Authorized Official

Name: BRONWEN WEICHERT, FNP-C
Title: OWNER MEMBER
Phone: (503) 368-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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