PACIFIC NORTHWEST WELLNESS LLC

PORTLAND, OR
NPI1821775982
Entity TypeOrganization
Authorized ContactSTEVE HAN
Member
503-476-1127
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-06-30
Last Update Date2024-10-10
Business Address
PACIFIC NORTHWEST WELLNESS LLC
1161 NW OVERTON ST
PORTLAND, OR 97209-2679
Phone number: 503-476-1127
Mailing Address
PACIFIC NORTHWEST WELLNESS LLC
1161 NW OVERTON ST APT 1402
PORTLAND, OR 97209-2549
Phone number: