Organization
EVERYBODY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MARIE ROSE RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(503) 825-0075
Entity
Organization
Contact information
Practice address
2143 NE BROADWAY ST STE 9, PORTLAND, OR 97232-1512
(503) 825-0075
Mailing address
1331 LAFAYETTE AVE, OREGON CITY, OR 97045-3814
(503) 616-0281
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
12/09/2019
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