| Wellnite Medical Group Pa | |
|
9620 Ne Tanasbourne Dr Ste 300 Hillsboro OR 97124-7844 | |
| (800) 644-6008 | |
| Not Available |
| Full Name | Wellnite Medical Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9620 Ne Tanasbourne Dr Ste 300, Hillsboro, Oregon |
| Authorized Official Name and Position | Amy Halanski (PRESIDENT) |
| Authorized Official Contact | 8776446008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnite Medical Group Pa 2261 Market St # 4058 San Francisco CA 94114-1612 Ph: () - | Wellnite Medical Group Pa 9620 Ne Tanasbourne Dr Ste 300 Hillsboro OR 97124-7844 Ph: (800) 644-6008 |
| NPI Number | 1912610783 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912610783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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