Healthcare Provider Details

I. General information

NPI: 1285558163
Provider Name (Legal Business Name): OHANA WELLNESS CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 NE 2ND AVE STE 118
CAMAS WA
98607-1601
US

IV. Provider business mailing address

417 NE 2ND AVE STE 118
CAMAS WA
98607-1601
US

V. Phone/Fax

Practice location:
  • Phone: 360-200-8706
  • Fax: 844-540-2466
Mailing address:
  • Phone: 360-200-8706
  • Fax: 844-540-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA TOWN
Title or Position: OWNER
Credential: DC
Phone: 360-200-8706