Organization
WILLAMETTE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BENNETT NP (OWNER)
(503) 729-1380
Entity
Organization
Contact information
Practice address
700 NE MULTNOMAH ST, SUITE 275, PORTLAND, OR 97232-2131
(503) 729-1380
Mailing address
700 NE MULTNOMAH ST, STE 275, PORTLAND, OR 97232
(503) 729-1380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15738542
OR
Other
Enumeration date
09/07/2013
Last updated
03/28/2024
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