Provider Demographics
NPI:1003206079
Name:PATHFINDER WELLNESS, LLC
Entity Type:Organization
Organization Name:PATHFINDER WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLS
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:503-489-8480
Mailing Address - Street 1:6464 SW BORLAND RD STE B6
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8859
Mailing Address - Country:US
Mailing Address - Phone:503-489-8480
Mailing Address - Fax:503-922-3048
Practice Address - Street 1:6464 SW BORLAND RD STE B6
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8859
Practice Address - Country:US
Practice Address - Phone:503-489-8480
Practice Address - Fax:502-922-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty