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NPI Code Detail

MEDICARE: 2BWELL, GROUP, LLC

MEDICARE: 2BWELL, GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath1458OR
2171100000XAcupuncturistAC00558OR
3171100000XAcupuncturistAC00307OR

General Provider Information

NPI Number : 1841253457
Entity Type Code : Organization
Provider Name (Legal Business Name) : 2BWELL, GROUP, LLC
Provider Business Mailing Address
First Line : 5935 WILLOW LANE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-5344
Country : US
Telephone Number : 503-655-0044
Fax Number : 503-515-8099
Provider Business Practice Location Address
First Line : 5935 WILLOW LANE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-5344
Country : US
Telephone Number : 503-655-0044
Fax Number : 503-515-8099
Authorized Official
Title or Position : OWNER
Name : SIAMAK SHIRAZZI
Credential : ND
Telephone Number : 503-515-5225
Provider Enumeration Date : 04/07/2006
Last Update Date : 08/21/2023

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Directions to “2BWELL, GROUP, LLC ” Practice Location

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