Organization · Type 2 NPI
Iridescent Wellness Clinic PC
Family Nurse Practitioner · Eugene, OR
NPI number
1770167348
Active
Practice location
1907 Garden Ave Ste 203
Eugene, OR 97403-1965
Mailing address
2312 W 28th Ave
Eugene, OR 97405-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1770167348
Iridescent Wellness Clinic PC's National Provider Identifier is 1770167348, issued on May 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eugene, OR. The record was last updated on Mar 7, 2023.