Provider Demographics
NPI:1629893615
Name:GO TO THE ZONE WELLNESS
Entity type:Organization
Organization Name:GO TO THE ZONE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-404-1736
Mailing Address - Street 1:18676 SW BOONES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8435
Mailing Address - Country:US
Mailing Address - Phone:971-404-1736
Mailing Address - Fax:
Practice Address - Street 1:18676 SW BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8435
Practice Address - Country:US
Practice Address - Phone:971-404-1736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty