Organization
HAWTHORNE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN WASSON (BILLING MANAGER)
(503) 235-5484
Entity
Organization
Contact information
Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 235-5484
(503) 235-3956
Mailing address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 235-5484
(503) 235-3956
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2014
Last updated
03/26/2015
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