Provider Demographics
NPI:1104603646
Name:TRANSCENDENCE WELLNESS CENTER
Entity type:Organization
Organization Name:TRANSCENDENCE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ LEAD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:192-824-2515
Mailing Address - Street 1:PO BOX 916
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-0065
Mailing Address - Country:US
Mailing Address - Phone:928-242-5154
Mailing Address - Fax:
Practice Address - Street 1:853 SPRING ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6111
Practice Address - Country:US
Practice Address - Phone:541-241-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty