Provider Demographics
NPI:1730434929
Name:ABSOLUTE WELLNESS, PC
Entity type:Organization
Organization Name:ABSOLUTE WELLNESS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HERB
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:541-484-5777
Mailing Address - Street 1:2286 OAKMONT WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5519
Mailing Address - Country:US
Mailing Address - Phone:541-484-5777
Mailing Address - Fax:541-284-2704
Practice Address - Street 1:2286 OAKMONT WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5519
Practice Address - Country:US
Practice Address - Phone:541-484-5777
Practice Address - Fax:541-284-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty