Organization
WELLBRIDGE PAIN CARE LLC
Active
Other names
The WellBridge Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALAN RYBAK L.AC (OWNER)
(503) 544-9611
Entity
Organization
Contact information
Practice address
3705 SE CESAR CHAVEZ BLVD., PORTLAND, OR 97202
(503) 544-9611
(971) 339-3897
Mailing address
3705 SE CESAR CHAVEZ BLVD., PORTLAND, OR 97202
(503) 544-9611
(971) 339-3897
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727866
—
OR
Enumeration date
06/04/2014
Last updated
01/09/2022
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