Organization
HAVEN WELLNESS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KNOBLOCK (HOLISTIC HEALTH PRACTITIONER)
(503) 807-4122
Entity
Organization
Contact information
Practice address
22804 W BLUFF DR, WEST LINN, OR 97068-8261
(503) 807-4122
Mailing address
22804 W BLUFF DR, WEST LINN, OR 97068-8261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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