| Emerald Wellness, P.c. | |
|
300 N Mill St Ste A Creswell OR 97426-9848 | |
| (541) 895-5300 | |
| Not Available |
| Full Name | Emerald Wellness, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 300 N Mill St Ste A, Creswell, Oregon |
| Authorized Official Name and Position | Richard A. Hansen (PRESIDENT) |
| Authorized Official Contact | 5418955300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Wellness, P.c. Po Box 1057 Creswell OR 97426-1057 Ph: (541) 895-5300 | Emerald Wellness, P.c. 300 N Mill St Ste A Creswell OR 97426-9848 Ph: (541) 895-5300 |
| NPI Number | 1184833139 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184833139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD22235 (Oregon) | Primary |
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