Eden Wellness Center Corporation Llc | |
6975 Sw Sandburg St Tigard OR 97223-8073 | |
(480) 938-6189 | |
Not Available |
Full Name | Eden Wellness Center Corporation Llc |
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Speciality | Community/behavioral Health |
Location | 6975 Sw Sandburg St, Tigard, Oregon |
Authorized Official Name and Position | Ntare Serge Sandrali (PARTNER) |
Authorized Official Contact | 4809386189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eden Wellness Center Corporation Llc 6975 Sw Sandburg St Tigard OR 97223-8073 Ph: () - | Eden Wellness Center Corporation Llc 6975 Sw Sandburg St Tigard OR 97223-8073 Ph: (480) 938-6189 |
NPI Number | 1487430971 |
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Provider Enumeration Date | 08/31/2023 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Identifier | Type | State | Issuer |
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1487430971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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