Organization
ELEMENTS HOLISTIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYCHELL EILEEN VINCENT L.AC (OWNER, ACUPUNCTURIST)
(503) 656-5510
Entity
Organization
Contact information
Practice address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Mailing address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC00408
OR
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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