Organization
NUWA INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE EASTIN LAC (OWNER)
(608) 769-5135
Entity
Organization
Contact information
Practice address
223 E POWELL BLVD, GRESHAM, OR 97030-7605
(503) 667-1500
Mailing address
635 SE PARK DR, GRESHAM, OR 97080-7825
(608) 769-5135
(503) 893-3045
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
09/24/2024
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