VISANA WELLNESS LLC NPI 1427293349

NPI Information

NPI: 1427293349
Provider Name: VISANA WELLNESS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
603 HEMLOCK STREET
3B
BROOKINGS, OR
ZIP 97415
Phone: (541) 469-9100
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VISANA WELLNESS, LLC is a primary care clinic center in Brookings, OR. VISANA WELLNESS, LLC NPI is 1427293349. The provider is registered as an organization entity type.

The provider's business location address is:

603 HEMLOCK STREET
3B
BROOKINGS, OR
ZIP 97415-999
Phone: (541) 469-9100
Fax: (541) 469-9200

The provider's authorized official is Tracey Stephen Kather .
The authorized official title is Owner and has the following contact phone number (541) 251-1010.

The enumeration date for this NPI number is 12/5/2008 and was last updated on 12/5/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	200250089NP	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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