| Wellness By Design, Llc | |
|
12725 Sw Millikan Way Ste 300 Beaverton OR 97005-1687 | |
| (971) 998-9747 | |
| (503) 747-0634 |
| Full Name | Wellness By Design, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12725 Sw Millikan Way Ste 300, Beaverton, Oregon |
| Authorized Official Name and Position | Jaleen Lynn Klink (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9719989747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness By Design, Llc 1049 Sw Baseline St Ste D490 Hillsboro OR 97123-3857 Ph: (971) 998-9747 | Wellness By Design, Llc 12725 Sw Millikan Way Ste 300 Beaverton OR 97005-1687 Ph: (971) 998-9747 |
| NPI Number | 1255824264 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/18/2022 |
| Medicare PECOS PAC ID | 0749537306 |
|---|---|
| Medicare Enrollment ID | O20180727001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255824264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 201407547NP-PP (Oregon) | Primary |
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