WILDER AWEN ROSE

PORTLAND, OR
NPI1588250047
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC203008)
Enumeration Date2020-12-17
Last Update Date2024-08-21
Business Address
Dr. WILDER AWEN ROSE DSOM
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232-2779
Phone number: 503-701-8766
Mailing Address
Dr. WILDER AWEN ROSE DSOM
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232-2779
Phone number: