Provider Demographics
NPI:1013320456
Name:POINT OF WELLNESS, LLC
Entity Type:Organization
Organization Name:POINT OF WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE
Authorized Official - Prefix:
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:YEO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-510-7307
Mailing Address - Street 1:3605 SE 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2953
Mailing Address - Country:US
Mailing Address - Phone:541-510-7307
Mailing Address - Fax:
Practice Address - Street 1:3605 SE 26TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-2953
Practice Address - Country:US
Practice Address - Phone:541-510-7307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC164810171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty