Wild Earth Wellness
Clinic/Center - Health Service • Gresham, OR
About Wild Earth Wellness NPI 1285159251 Summary
Wild Earth Wellness is a verified healthcare organization specializing in Clinic/Center - Health Service operating in Gresham, OR. Located at 24850 SE STARK ST STE 200, this facility provides patient care and medical services under National Provider Identifier (NPI) 1285159251.
Administrative operations and authorized compliance are overseen by Jennifer Boom (Owner).
The facility is associated with 14 linked healthcare practitioners providing clinical services.
Facility Location & Contact Primary Location
24850 Se Stark St Ste 200
Gresham, OR 970308320
Authorized Official Information
MRS. Jennifer Boom , LMT
Owner
5033102622
Facility Classifications & Specialties
NUCC Taxonomy Code: 261QH0100X
Definition to come...
Affiliated Practitioners & Clinicians
Healthcare professionals and specialists practicing at this facility or affiliated group locations
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
NPI status registered as active in NPPES database
Registered at 24850 SE STARK ST STE 200, GRESHAM, OR 970308320 (Tel: (503) 310-2622)
Registered at 24850 SE STARK ST STE 200, GRESHAM, OR 970308320 (Tel: 5033102622)
Operating as WILD EARTH WELLNESS
Clinic/Center (License #7615 in OR)
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
24850 Se Stark St Ste 200
Gresham, OR 970308320
Phone: 5033102622
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.