# VERDURA FAMILY WELLNESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Verdura Family Wellness, Inc-Carlton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043577869
- **Authorized official:** SARA MILLER (PRACTICE MANAGER)
- **Authorized official phone:** (503) 648-8210

## Contact information

- **Practice address:** 348 S PINE ST, CARLTON, OR 97111-1228
- **Practice address phone:** (503) 648-8210
- **Practice address fax:** (503) 648-8283
- **Mailing address:** 434 S 1ST AVE STE 300, HILLSBORO, OR 97123-3957
- **Mailing address phone:** (503) 648-8210
- **Mailing address fax:** (503) 648-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 04/18/2012