Whalio Doctors

NPI 1487430971

Eden Wellness Center Corporation LLC

Organisation Community/Behavioral Health Agency Tigard, OR

Practice location

Address
6975 SW Sandburg St, Tigard, OR 97223-8073
Phone
(480) 938-6189

Authorised official

Name
Ntare Serge Sandrali
Title
Partner
Phone
(480) 938-6189

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1487430971
Entity type
Organization
NPI issued
31 Aug 2023
Record last updated
31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.