Pacific Northwest Wellness Llc

LBN: Pacific Northwest Wellness Llc
Pacific Northwest Wellness Llc is an health care organization with primary practice located at 106 E 16Th Ave , Eugene OR 97401-4033. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is the primary health care specialty. Pacific Northwest Wellness Llc can be contacted via phone (971) 266-0421, or through Myco, Priscilla via phone (719) 266-0421.

Contact Information

Primary practice address
106 E 16Th Ave Eugene OR 97401-4033
Phone: (971) 266-0421
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Myco, Priscilla
Phone: (719) 266-0421

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1437715216
LBN Legal business name Pacific Northwest Wellness Llc
DBA Doing business as
Authorized official Myco, Priscilla
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2019
Last updated Jun 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437715216 NPPES
Oregon MEDICAID 1346542503

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