| Weichert Wellness, Llc | |
|
123 Laneda Avenue Manzanita OR 97130 | |
| (503) 369-4393 | |
| (503) 368-4395 |
| Full Name | Weichert Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 123 Laneda Avenue, Manzanita, Oregon |
| Authorized Official Name and Position | Bronwen Weichert (OWNER MEMBER) |
| Authorized Official Contact | 5033684393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weichert Wellness, Llc Po Box 1387 Manzanita OR 97130-1387 Ph: (503) 368-4393 | Weichert Wellness, Llc 123 Laneda Avenue Manzanita OR 97130 Ph: (503) 369-4393 |
| NPI Number | 1790109023 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790109023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |