Organization
PHOENIX WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLIEGH VICTORIA RAMIREZ CADC I (A&D OUTPATIENT COUNSELOR)
(541) 270-9426
Entity
Organization
Contact information
Practice address
145 N COAST HWY, NEWPORT, OR 97365-3195
(541) 270-9426
Mailing address
PO BOX 2082, NEWPORT, OR 97365-0150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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