Watershed Community Wellness

LBN: Watershed Community Wellness Llc
Watershed Community Wellness is an health care organization with primary practice located at 1988 Se Ladd Ave , Portland OR 97214-4737. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Mechanotherapist. Other Service Providers / Acupuncturist is the primary health care specialty. Watershed Community Wellness Llc can be contacted via phone (503) 820-8040, or through Grey, Eric Benjamin via phone (503) 820-8040.

Contact Information

Primary practice address
1988 Se Ladd Ave Portland OR 97214-4737
Phone: (503) 820-8040
Fax: (503) 564-0180
Website:
Map and Directions
Authorized official contact:
Name: Grey, Eric Benjamin Licensed Acupuncturist (LAC)
Phone: (503) 820-8040

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC150225 Oregon
Other Service Providers / Mechanotherapist 172M00000X 12190 Oregon

Profile Details

NPI number 1932436896
LBN Legal business name Watershed Community Wellness Llc
DBA Doing business as Watershed Community Wellness
Authorized official Grey, Eric Benjamin Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2009
Last updated Jan 20th, 2011 - about 15 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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