| NPI | 1932436896 |
|---|---|
| Doing Business As | WATERSHED COMMUNITY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ERIC BENJAMIN GREY Member 503-820-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR ac150225) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 12190) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-01-20 |