Organization
SANTE WELLNESS LLC
Active
Other names
Sante Aesthetics & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCEA WIGGINS ND (MEDICAL DIRECTOR/OWNER)
(971) 407-3066
Entity
Organization
Contact information
Practice address
210 NW 17TH AVE, PORTLAND, OR 97209-2151
(971) 407-3066
(971) 407-3067
Mailing address
210 NW 17TH AVE, PORTLAND, OR 97209-2151
(971) 407-3066
(971) 407-3067
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1582
OR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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