Organization
SERENITY WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJANA DEVO KADAKIA ND, LAC (OWNER)
(503) 987-3622
Entity
Organization
Contact information
Practice address
12570 SW 69TH AVE STE 101, TIGARD, OR 97223-2552
(503) 987-3622
(503) 987-3022
Mailing address
PO BOX 230095, TIGARD, OR 97281-0095
(503) 987-3622
(503) 987-3022
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
06/15/2021
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