| Innervision Wellness Services, Inc | |
|
683 Cottage St Ne Salem OR 97301-2419 | |
| (336) 314-7105 | |
| Not Available |
| Full Name | Innervision Wellness Services, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 683 Cottage St Ne, Salem, Oregon |
| Authorized Official Name and Position | Ebony Wiggins (DIRECTOR) |
| Authorized Official Contact | 3363147105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervision Wellness Services, Inc 683 Cottage St Ne Salem OR 97301-2419 Ph: (336) 314-7105 | Innervision Wellness Services, Inc 683 Cottage St Ne Salem OR 97301-2419 Ph: (336) 314-7105 |
| NPI Number | 1821852989 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821852989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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