Organization · Type 2 NPI
Visana Wellness, LLC
Primary Care Clinic/Center · Brookings, OR
NPI number
1427293349
Active
Practice location
603 Hemlock Street, 3B
Brookings, OR 97415-9999
Fax (541) 469-9200
Mailing address
PO Box 6945
Brookings, OR 97415-0353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 200250089NP (OR) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1427293349
Visana Wellness, LLC's National Provider Identifier is 1427293349, issued on Dec 5, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Brookings, OR. The record was last updated on Dec 5, 2008.