Provider Demographics
NPI:1912551771
Name:CONIFER WELLNESS, INC.
Entity Type:Organization
Organization Name:CONIFER WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-286-5002
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-0354
Mailing Address - Country:US
Mailing Address - Phone:541-286-5002
Mailing Address - Fax:541-201-2923
Practice Address - Street 1:139 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-4713
Practice Address - Country:US
Practice Address - Phone:347-782-3046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty