Organization
RECONSTRUCTED WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WELLS ND (NATUROPATHIC PHYSICIAN)
(503) 232-3215
Entity
Organization
Contact information
Practice address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
(866) 304-0330
Mailing address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
(866) 304-0330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC169599
OR
175F00000X
Naturopath
Primary
2049
OR
Other
Enumeration date
01/23/2018
Last updated
10/30/2018
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