Iridescent Wellness Clinic Pc

LBN: Iridescent Wellness Clinic Pc
Iridescent Wellness Clinic Pc is an health care organization with primary practice located at 1907 Garden Ave Ste 203 , Eugene OR 97403-1965. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Iridescent Wellness Clinic Pc can be contacted via phone (503) 739-5705, or through Kucey, Randa Jill via phone (503) 739-5705.

Contact Information

Primary practice address
1907 Garden Ave Ste 203 Eugene OR 97403-1965
Phone: (503) 739-5705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kucey, Randa Jill DNP
Phone: (503) 739-5705

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1770167348
LBN Legal business name Iridescent Wellness Clinic Pc
DBA Doing business as
Authorized official Kucey, Randa Jill DNP
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2021
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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