Provider Demographics
NPI:1235433491
Name:NW HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:NW HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMMLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-653-5633
Mailing Address - Street 1:11211 SE 82ND AVE
Mailing Address - Street 2:SUITE # L2
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7624
Mailing Address - Country:US
Mailing Address - Phone:503-653-5633
Mailing Address - Fax:503-356-5120
Practice Address - Street 1:11211 SE 82ND AVE
Practice Address - Street 2:SUITE # L2
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-7624
Practice Address - Country:US
Practice Address - Phone:503-653-5633
Practice Address - Fax:503-356-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty