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1285458851
SD WELLNESS LLC
PORTLAND, OR
NPI
1285458851
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Entity Type
Organization
Authorized Contact
SHONDELL DIAZ
Physician Associate
203-305-9859
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-11-11
Last Update Date
2026-01-16
Business Address
SD WELLNESS LLC
3705 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97202-1704
Phone number: 503-483-6394
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Mailing Address
SD WELLNESS LLC
3705 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97202-1704
Phone number: 503-483-6394
Copy
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