Organization
NORTHWEST WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID OGLE MD (DIRECTOR)
(888) 837-8567
Entity
Organization
Contact information
Practice address
5115 NE 76TH ST, VANCOUVER, WA 98661-1357
(888) 837-8567
Mailing address
5115 NE 76TH ST, VANCOUVER, WA 98661-1357
(888) 837-8567
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
291U00000X
Clinical Medical Laboratory
Primary
50F0968535
OR
Other
Enumeration date
11/29/2006
Last updated
09/12/2013
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