PREMIERE ADULT WELLNESS LLC

SALEM, OR
NPI1174408298
Entity TypeOrganization
Authorized ContactTAMMY STUBER
Owner
503-551-9873
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2025-08-07
Last Update Date2025-08-07
Business Address
PREMIERE ADULT WELLNESS LLC
3465 DUNCAN AVE NE
SALEM, OR 97301-0811
Phone number:
Mailing Address
PREMIERE ADULT WELLNESS LLC
PO BOX 7897
SALEM, OR 97303-0193
Phone number: 503-551-9873
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