Organization
WELL WITHIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA C WEBER LAC, MACOM (ACUPUNCTURIST, OWNER)
(503) 734-7508
Entity
Organization
Contact information
Practice address
709 NE 5TH ST, GRESHAM, OR 97030
(503) 734-7508
(503) 664-4164
Mailing address
541 SE PARK DR, GRESHAM, OR 97080-7823
(503) 734-7508
(503) 664-4164
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156402
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500698682
—
OR
Enumeration date
12/21/2011
Last updated
02/10/2020
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