WATERSHED COMMUNITY WELLNESS LLC

PORTLAND, OR
NPI1932436896
Doing Business AsWATERSHED COMMUNITY WELLNESS
Entity TypeOrganization
Authorized ContactERIC BENJAMIN GREY
Member
503-820-8040
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  ac150225)
Additional Taxonomies172M00000X Mechanotherapist
(Licence: OR  12190)
Enumeration Date2009-11-12
Last Update Date2011-01-20
Business Address
WATERSHED COMMUNITY WELLNESS LLC
1988 SE LADD AVE
PORTLAND, OR 97214-4737
Phone number: 503-820-8040
Mailing Address
WATERSHED COMMUNITY WELLNESS LLC
1988 SE LADD AVE
PORTLAND, OR 97214-4737
Phone number: 503-820-8040