Organization
LIVING WELLNESS NATUROPATHIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN ELLEN REVOIR BENNETT ND (NATUROPATHIC DOCTOR)
(503) 583-4245
Entity
Organization
Contact information
Practice address
7411 SE POWELL BLVD, PORTLAND, OR 97206-2451
(503) 227-1222
(503) 227-1555
Mailing address
3340 SE MORRISON ST APT 328, PORTLAND, OR 97214-3193
(503) 583-4245
(503) 419-6202
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2062
OR
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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