Provider Demographics
NPI:1699581355
Name:INNER WAY WELLNESS, LLC
Entity type:Organization
Organization Name:INNER WAY WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHINESE MEDICINE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:503-568-1862
Mailing Address - Street 1:5311 SE POWELL BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-2951
Mailing Address - Country:US
Mailing Address - Phone:310-266-3206
Mailing Address - Fax:971-228-1672
Practice Address - Street 1:5311 SE POWELL BLVD STE 202
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-2951
Practice Address - Country:US
Practice Address - Phone:035-681-8625
Practice Address - Fax:971-228-1672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty