Organization
HEALTHY CHOICES WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY ANN DE LA BRUERE M.D. (PHYSICIAN)
(503) 658-6022
Entity
Organization
Contact information
Practice address
18151 SE HIGHWAY 212, DAMASCUS, OR 97089-8764
(503) 658-6022
(503) 658-7818
Mailing address
18151 SE HIGHWAY 212, DAMASCUS, OR 97089-8764
(503) 658-6022
(503) 658-7818
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD15031
OR
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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