Provider Demographics
NPI:1235478306
Name:DARLING, WHEELS (LAC)
Entity Type:Individual
Prefix:
First Name:WHEELS
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5538 SE BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1840
Mailing Address - Country:US
Mailing Address - Phone:503-754-3593
Mailing Address - Fax:503-336-1091
Practice Address - Street 1:2161 NE BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1512
Practice Address - Country:US
Practice Address - Phone:503-754-3593
Practice Address - Fax:503-336-1091
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC159803171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist