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ELEMENTS HOLISTIC WELLNESS NPI 1366712986


NPI Information

NPI: 1366712986
Provider Name: ELEMENTS HOLISTIC WELLNESS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
15240 SE 82ND DR
CLACKAMAS, OR
ZIP 97015
Phone: (503) 656-5510
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ELEMENTS HOLISTIC WELLNESS is a health service clinic center in Clackamas, OR. ELEMENTS HOLISTIC WELLNESS NPI is 1366712986. The provider is registered as an organization entity type.

The provider's business location address is:

15240 SE 82ND DR
CLACKAMAS, OR
ZIP 97015-606
Phone: (503) 656-5510
Fax: (503) 656-8080

The provider's authorized official is Mychell Eileen Vincent .
The authorized official title is Owner, Acupuncturist and has the following contact phone number (503) 656-5510.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceAC00408OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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