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NPI Code Detail

MEDICARE: TRUE WELLNESS,LLC

MEDICARE: TRUE WELLNESS,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
1111N00000XChiropractor4056OR

General Provider Information

NPI Number : 1972043693
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE WELLNESS,LLC
Provider Business Mailing Address
First Line : 2850 SE 82ND AVE
Second Line : STE. #8
City : PORTLAND
State : OR
Zip : 97266-1599
Country : US
Telephone Number : 503-777-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2850 SE 82ND AVE
Second Line : STE. #8
City : PORTLAND
State : OR
Zip : 97266-1599
Country : US
Telephone Number : 503-777-3000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. TAI TRIEU
Credential : D.C.
Telephone Number : 530-400-6629
Provider Enumeration Date : 02/28/2017
Last Update Date : 02/28/2017

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Directions to “TRUE WELLNESS,LLC ” Practice Location

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