Healthcare Provider Details

I. General information

NPI: 1891987541
Provider Name (Legal Business Name): HELANE WAHBEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9311 SE STANLEY AVE
MILWAUKIE OR
97222-4236
US

IV. Provider business mailing address

9311 SE STANLEY AVE
MILWAUKIE OR
97222-4236
US

V. Phone/Fax

Practice location:
  • Phone: 503-380-1976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1228
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: