Organization
PACIFIC WAY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODOSIA ANN WOODS D.C. (SOLE MEMBER)
(503) 738-9796
Entity
Organization
Contact information
Practice address
1289 PACIFIC WAY, GEARHART, OR 97138-4360
(503) 738-9796
(503) 717-1378
Mailing address
1289 PACIFIC WAY, GEARHART, OR 97138-4360
(503) 738-9796
(503) 717-1378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3141
OR
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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