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Organization

RHIZOME WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS BECKER ND (SOLE MEMBER)
(301) 706-5067
Entity
Organization

Contact information

Practice address
5010 NE 33RD AVE, PORTLAND, OR 97211-6946
(503) 238-1065
Mailing address
4523 NE 82ND AVE, PORTLAND, OR 97220-4920
(301) 706-5067

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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