Organization
ABC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA LOSEY CRENSHAW (OWNER)
(503) 477-8881
Entity
Organization
Contact information
Practice address
2534 NW VAUGHN ST, PORTLAND, OR 97210-2552
(503) 477-8881
(503) 719-4695
Mailing address
2534 NW VAUGHN ST, PORTLAND, OR 97210-2552
(503) 477-8881
(503) 719-4695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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