| Be Well Acupuncture | |
|
3125 Ne Holladay St # B Portland OR 97232-2504 | |
| (917) 843-2256 | |
| Not Available |
| Full Name | Be Well Acupuncture |
|---|---|
| Speciality | General Practice |
| Location | 3125 Ne Holladay St # B, Portland, Oregon |
| Authorized Official Name and Position | Dessa Marie Bingley (DIRECTOR) |
| Authorized Official Contact | 5032174457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Acupuncture 3125 Ne Holladay St # B Portland OR 97232-2504 Ph: (917) 843-2256 | Be Well Acupuncture 3125 Ne Holladay St # B Portland OR 97232-2504 Ph: (917) 843-2256 |
| NPI Number | 1417484460 |
|---|---|
| Provider Enumeration Date | 05/20/2017 |
| Last Update Date | 07/03/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 4486036993 |
|---|---|
| Medicare Enrollment ID | O20220801000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417484460 | NPI | - | NPPES |
| Provider Name | Sami Lee Ebner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619627759 PECOS PAC ID: 5395127807 Enrollment ID: I20220801000296 |
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