| Wildwood Health And Wellness | |
|
16100 Nw Cornell Rd Ste 220 Beaverton OR 97006-7334 | |
| (303) 929-8993 | |
| Not Available |
| Full Name | Wildwood Health And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 16100 Nw Cornell Rd Ste 220, Beaverton, Oregon |
| Authorized Official Name and Position | Allison Renee Rott (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 3039298993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Health And Wellness 4906 Ne Cleveland Ave Portland OR 97211-2718 Ph: (303) 929-8993 | Wildwood Health And Wellness 16100 Nw Cornell Rd Ste 220 Beaverton OR 97006-7334 Ph: (303) 929-8993 |
| NPI Number | 1013513472 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013513472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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