Integrative Wellness Center, LLC

NPI #1861650301 in Portland, Oregon

Provider Information

NPI Number
1861650301
Entity Type
Organization
Organization Name
Integrative Wellness Center, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
May 31, 2008
Last Updated
May 31, 2008

Practice Location

Address
2343 SE 44TH AVE
State
Oregon
ZIP Code
97215-3721
Phone
(503) 997-7181

Authorized Official

Name
RICHARD BRAD MCCONNELL, LAC
Title
LICENSED ACUPUNTURIST
Phone
(503) 997-7181

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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