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THE WELLNESS GROUP LLC NPI 1962909531


NPI Information

NPI: 1962909531
Provider Name: THE WELLNESS GROUP, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3307 19TH AVE
FOREST GROVE, OR
ZIP 97116
Phone: (503) 389-2248
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THE WELLNESS GROUP, LLC is a clinic center in Forest Grove, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). THE WELLNESS GROUP, LLC NPI is 1962909531. The provider is registered as an organization entity type.

The provider's business location address is:

3307 19TH AVE
FOREST GROVE, OR
ZIP 97116-909
Phone: (503) 389-2248

The provider's authorized official is Nicole Kennedy .
The authorized official title is Owner/chiropractor and has the following contact phone number (503) 389-2248.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 4/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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