Provider Demographics
NPI:1063038727
Name:RESILIENCE WELLNESS
Entity Type:Organization
Organization Name:RESILIENCE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNELLY-CRITES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:971-249-3112
Mailing Address - Street 1:18801 SW MARTINAZZI AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-6899
Mailing Address - Country:US
Mailing Address - Phone:971-249-3112
Mailing Address - Fax:
Practice Address - Street 1:18801 SW MARTINAZZI AVE
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-6896
Practice Address - Country:US
Practice Address - Phone:971-249-3112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty