Organization
WELLNESS WAY BEAVERTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPPHINE TILDEN DC (OWNER)
(971) 727-8965
Entity
Organization
Contact information
Practice address
12655 SW CENTER ST STE 145, BEAVERTON, OR 97005-1864
(971) 727-8965
Mailing address
12655 SW CENTER ST STE 145, BEAVERTON, OR 97005-1864
(971) 727-8965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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