NORTHWEST VITALITY GROUP is a clinic center in Portland, 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). NORTHWEST VITALITY GROUP NPI is 1033853783. The provider is registered as an organization entity type.
The provider's business location address is:
9233 SW 52ND AVE
PORTLAND, OR
ZIP 97219-003
Phone: (503) 757-8535
Fax: (971) 223-0949
The provider's authorized official is Holly Anne Fay .
The authorized official title is Owner/provider/cmo and has the following contact phone number (503) 757-8535.
The CLIA number assigned to this NPI record is 38D2112282 - other - urgent care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/27/2022 and was last updated on 4/27/2022.