Organization
TWIN PINES WELLNESS LLC
Active
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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