Organization
ENLOE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GERTRUDE ENLOE M.AC., L.AC., (OWNER)
(503) 860-2372
Entity
Organization
Contact information
Practice address
15962 BOONES FERRY RD, SUITE 202, LAKE OSWEGO, OR 97035-4351
(503) 860-2372
Mailing address
15962 BOONES FERRY RD, SUITE 202, LAKE OSWEGO, OR 97035-4351
(503) 860-2372
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
162042
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083059059
NPI TYPE 1
OR
Enumeration date
09/27/2014
Last updated
09/27/2014
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