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Organization
WILD MOUNTAIN MEDICINE LLC
Active
Organization
WILD MOUNTAIN MEDICINE LLC
Active
Other names
Wild Mountain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE CHAVEZ (OWNER)
(541) 944-1989
Entity
Organization
Contact information
Practice address
3863 SW HALL BLVD STE B, BEAVERTON, OR 97005-2042
(541) 944-1989
Mailing address
3863 SW HALL BLVD STE B, BEAVERTON, OR 97005-2042
(541) 944-1989
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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