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Organization
OREGON WELLNESS NETWORK LLC
Active
Organization
OREGON WELLNESS NETWORK LLC
Active
Parent organization
OREGON ASSOCIATION OF AREA AGENCIES ON AGING & DISABILITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON ASSOCIATION OF AREA AGENCIES ON AGING & DISABILITIES
Authorized official
LAVINIA GOTO (OPERATIONS MANAGER)
(503) 304-3408
Entity
Organization
Contact information
Practice address
3410 CHERRY AVE NE, KEIZER, OR 97303
(503) 304-3655
Mailing address
3410 CHERRY AVE NE, KEIZER, OR 97303-4924
(503) 304-3408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
05/29/2018
Last updated
01/24/2025
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