WHITAKER WELLNESS LLC

GRESHAM, OR
NPI1831641505
Entity TypeOrganization
Authorized ContactMICHAEL ROBERT WHITAKER
Member
503-661-5090
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: OR  5545)
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
WHITAKER WELLNESS LLC
4253 SE 182ND AVE
GRESHAM, OR 97030-5083
Phone number: 503-661-5090
Mailing Address
WHITAKER WELLNESS LLC
4253 SE 182ND AVE
GRESHAM, OR 97030-5083
Phone number: 503-661-5090
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