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General NPI Number Information
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NPI Number | 1528942224
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Entity Type | Organization
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Legal Business Name | VW WELLNESS LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 10510 SW LAUREL RD
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City | BEAVERTON
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State | OR
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Zip | 97005
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Country | US
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Telephone | 503-830-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 10765 SW BUTNER RD APT 19
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City | PORTLAND
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State | OR
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Zip | 97225-5257
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Country | US
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Telephone | 503-830-9581
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA WESLEY
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Credential | LAC
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Telephone | 503-830-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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