Organization
DDN ENTERPRISES LLC
Active
Other names
Oregon Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS ALLEN NOWACK D.C. (OWNER)
(503) 526-8600
Entity
Organization
Contact information
Practice address
4265 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 526-8600
(503) 643-1006
Mailing address
4265 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 526-8600
(503) 643-1006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273359
OR
175F00000X
Naturopath
1419
OR
Other
Enumeration date
06/27/2007
Last updated
07/03/2008
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