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Organization
WILD HEARTS WELLNESS LLC
Active
Organization
WILD HEARTS WELLNESS LLC
Active
Other names
Maura Dawgert, L.Ac
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA DAWGERT L.AC. (OWNER, ACUPUNCTURIST)
(971) 400-6063
Entity
Organization
Contact information
Practice address
4423 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(971) 400-6063
Mailing address
4114 NE 74TH AVE, PORTLAND, OR 97218-3633
(971) 400-6063
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153455
OR
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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