| Wellness Pnw, Llc | |
|
16110 Sw Regatta Ln Beaverton OR 97006-8942 | |
| (971) 205-2053 | |
| Not Available |
| Full Name | Wellness Pnw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16110 Sw Regatta Ln, Beaverton, Oregon |
| Authorized Official Name and Position | Torey Andrus (OWNER/OPERATOR & LEAD CLINICIAN) |
| Authorized Official Contact | 9712052053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Pnw, Llc 16110 Sw Regatta Ln Beaverton OR 97006-8942 Ph: (971) 205-2053 | Wellness Pnw, Llc 16110 Sw Regatta Ln Beaverton OR 97006-8942 Ph: (971) 205-2053 |
| NPI Number | 1841888617 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841888617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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