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1700659265
WILDWOOD HEALING LLC
PORTLAND, OR
NPI
1700659265
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Entity Type
Organization
Authorized Contact
RENEE MELTON
Owner/Sole Member
971-368-2910
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
WILDWOOD HEALING LLC
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 971-368-2910
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Mailing Address
WILDWOOD HEALING LLC
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 971-368-2910
Copy
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