# HEALTH AND WELLNESS CHIROPRACTIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255614715
- **Authorized official:** DR. ANTHONY NHUT-THANH PHAM D.C. (OWNER)
- **Authorized official phone:** (503) 463-6131

## Contact information

- **Practice address:** 3851 RIVER RD N, KEIZER, OR 97303-4803
- **Practice address phone:** (503) 463-6131
- **Mailing address:** 3851 RIVER RD N, KEIZER, OR 97303-4803
- **Mailing address phone:** (503) 463-6131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | 3737 | OR | — |
| 261QM2500X | Medical Specialty Clinic/Center | 3737 | OR | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 09/21/2011
