| NPI | 1073978284 |
|---|---|
| Doing Business As | SHANTI RECOVERY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ROBBIE BAHL Medical Director & Owner 503-206-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OR MD164885) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |