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General NPI Number Information
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NPI Number | 1629218870
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Entity Type | Organization
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Legal Business Name | HEALTH WITHIN WELLNESS CENTER LLC
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Dates
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Enumeration Date | 03/01/2009
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 8905 SW NIMBUS AVE STE 140
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City | BEAVERTON
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State | OR
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Zip | 97008-7103
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Country | US
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Telephone | 503-512-9591
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Fax | 971-350-1243
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Provider Business Mailing Address
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Address Line | 8905 SW NIMBUS AVE STE 140
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City | BEAVERTON
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State | OR
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Zip | 97008-7103
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Country | US
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Telephone | 503-912-9591
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Fax | 971-350-1243
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DENNIS COZZOCREA
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Credential | D.C.
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Telephone | 503-912-9591
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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 | 602807738
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 5688
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License Number State | OR
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