WEICHERT WELLNESS, LLC – NPI #1790109023
Clinic/Center

WEICHERT WELLNESS, LLC is an AHC clinic located in MANZANITA, OR. NPPES has assigned the NPI number 1790109023 to WEICHERT WELLNESS, LLC on February 06, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEICHERT WELLNESS, LLC below.

NPI Profile for
WEICHERT WELLNESS, LLC

NPI Number
1790109023
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEICHERT WELLNESS, LLC
Primary location
123 LANEDA AVENUE
MANZANITA, OR 97130
Phone: (503) 369-4393 Fax: (503) 368-4395
Mailing address
PO BOX 1387
MANZANITA, OR 97130-1387
Phone: (503) 368-4393 Fax: (503) 368-4395
Organization Subpart
No
Authorized Official
BRONWEN WEICHERT
OWNER MEMBER
Phone: (503) 368-4393
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.