Organization
WELLNESS PNW, LLC
Active
Other names
Wellness PNW, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TOREY ANDRUS (OWNER/OPERATOR)
(858) 603-9904
Entity
Organization
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(971) 205-2053
Mailing address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(971) 205-2053
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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