Organization
TWIN PINES WELLNESS LLC
Active
Other names
Twin Pines Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KIEFFER LMT (OWNER)
(503) 902-4797
Entity
Organization
Contact information
Practice address
3808 N WILLIAMS AVE STE F, PORTLAND, OR 97227-1468
(503) 902-4797
Mailing address
3808 N WILLIAMS AVE STE F, PORTLAND, OR 97227-1468
(503) 902-4797
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
19839
OR
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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