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Organization
WELLBRIDGE PAIN CARE LLC
Active
Organization
WELLBRIDGE PAIN CARE LLC
Active
Other names
The WellBridge Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALAN RYBAK L.AC (OWNER)
(503) 544-9611
Entity
Organization
Contact information
Practice address
3705 SE CESAR CHAVEZ BLVD., PORTLAND, OR 97202
(503) 544-9611
(971) 339-3897
Mailing address
3705 SE CESAR CHAVEZ BLVD., PORTLAND, OR 97202
(503) 544-9611
(971) 339-3897
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727866
—
OR
Enumeration date
06/04/2014
Last updated
01/09/2022
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