Provider Demographics
NPI:1972043693
Name:TRUE WELLNESS,LLC
Entity type:Organization
Organization Name:TRUE WELLNESS,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-400-6629
Mailing Address - Street 1:2850 SE 82ND AVE
Mailing Address - Street 2:STE. #8
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1599
Mailing Address - Country:US
Mailing Address - Phone:503-777-3000
Mailing Address - Fax:
Practice Address - Street 1:2850 SE 82ND AVE
Practice Address - Street 2:STE. #8
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1599
Practice Address - Country:US
Practice Address - Phone:503-777-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty