Organization
REVITALIZE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE F RITCHEY ND (OWNER)
(503) 583-8128
Entity
Organization
Contact information
Practice address
29702 SW TOWN CENTER LOOP W SUITE C, WILSONVILLE, OR 97070-6481
(503) 583-8128
(503) 832-0366
Mailing address
29702 SW TOWN CENTER LOOP W SUITE C, WILSONVILLE, OR 97070-6481
(503) 583-8128
(503) 832-0366
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734840
—
OR
Enumeration date
05/14/2019
Last updated
06/02/2022
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