Organization
A WELLSPRING OF NATURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN WASSON (BILLING MANAGER)
(503) 526-0397
Entity
Organization
Contact information
Practice address
4720 SW WATSON AVE, BEAVERTON, OR 97005-0511
(503) 526-0397
(503) 643-4633
Mailing address
4720 SW WATSON AVE, BEAVERTON, OR 97005-0511
(503) 526-0397
(503) 643-4633
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
95
OR
175F00000X
Naturopath
Primary
696
OR
175F00000X
Naturopath
753
OR
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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