Provider Demographics
NPI:1609667575
Name:WELLNESS AT THE CENTER LLC
Entity type:Organization
Organization Name:WELLNESS AT THE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:AMARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TEKUS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-928-2333
Mailing Address - Street 1:5435 SE 91ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-4603
Mailing Address - Country:US
Mailing Address - Phone:503-928-2333
Mailing Address - Fax:503-255-7001
Practice Address - Street 1:8931 SE FOSTER RD STE 102
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-4661
Practice Address - Country:US
Practice Address - Phone:503-255-7000
Practice Address - Fax:503-255-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty