OrganizationSante Wellness Llc(<Unavail>)NaturopathOther Service ProvidersPractice Address210 NW 17th Ave, Portland, OR 97209-2151(971) 407-3066PECOS EnrollmentBased on the most recent information from CMS, provider Sante Wellness Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841609575Provider TypeOrganizationFull NameSante Wellness LlcOther Name<Unavail>SubpartNoEnumeration Date8/6/2014Last Updated8/6/2014Contact InformationPractice LocationPractice Address210 NW 17th Ave, Portland, OR 97209-2151Phone(971) 407-3066Fax(971) 407-3067Mailing LocationMailing Address210 NW 17th Ave, Portland, OR 97209-2151Phone(971) 407-3066Fax(971) 407-3067Authorized OfficialNameWiggins, Marcea (Medical Director/Owner)Phone(971) 407-3066Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense1582Oregon