NPI | 1952631830 |
---|---|
Doing Business As | RADIANCEMD |
Former Legal Business Name | WHOLE PERSON CENTERED WELLNESS |
Entity Type | Organization |
Authorized Contact | LESLIE ANN SANCHEZ-GOETTLER Medical Director 503-816-3091 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2009-0469) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2023-08-16 |