Organization
WEICHERT WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRONWEN WEICHERT FNP-C (OWNER MEMBER)
(503) 368-4393
Entity
Organization
Contact information
Practice address
123 LANEDA AVENUE, MANZANITA, OR 97130
(503) 369-4393
(503) 368-4395
Mailing address
PO BOX 1387, MANZANITA, OR 97130-1387
(503) 368-4393
(503) 368-4395
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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