Organization
PACIFIC NORTHWEST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HAN (MEMBER)
(503) 476-1127
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 476-1127
Mailing address
1110 SE ALDER ST. STE 301, PMB #145, PORTLAND, OR 97214-2405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
05/29/2025
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