Organization
WILDFLOWER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELIZABETH THOMAS LAC (BUSINESS OWNER)
(503) 708-1554
Entity
Organization
Contact information
Practice address
1716 NE 42ND AVE, PORTLAND, OR 97213-1527
(503) 708-1554
Mailing address
924 NE 91ST AVE, APARTMENT 6, PORTLAND, OR 97220-5758
(503) 708-1554
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC171571
OR
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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