WISE MOUNTAIN MEDICINE LLC

BEND, OR
NPI1316512049
Entity TypeOrganization
Authorized ContactCARLTON ANDREW KELCH
Co Owner
970-406-1019
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
WISE MOUNTAIN MEDICINE LLC
335 NE REVERE AVE
BEND, OR 97701-4059
Phone number: 541-238-7285
Mailing Address
WISE MOUNTAIN MEDICINE LLC
2150 NW HILL ST APT 3
BEND, OR 97703-1373
Phone number: 970-406-1019
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