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Organization

WILD HEARTS WELLNESS LLC

Active
Other names
Maura Dawgert, L.Ac
Organization subpart
No

Provider details

NPI number
Authorized official
MAURA DAWGERT L.AC. (OWNER, ACUPUNCTURIST)
(971) 400-6063
Entity
Organization

Contact information

Practice address
4423 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(971) 400-6063
Mailing address
4114 NE 74TH AVE, PORTLAND, OR 97218-3633
(971) 400-6063

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153455
OR

Other

Enumeration date
12/22/2016
Last updated
12/22/2016
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