HAWTHORNE WELLNESS CENTER NPI 1215354741

NPI Information

NPI: 1215354741
Provider Name: HAWTHORNE WELLNESS CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 38D2166474

Address:
3942 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214
Phone: (503) 235-5484
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HAWTHORNE WELLNESS CENTER is a health service clinic center in Portland, OR. HAWTHORNE WELLNESS CENTER NPI is 1215354741. The provider is registered as an organization entity type.

The provider's business location address is:

3942 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214-242
Phone: (503) 235-5484
Fax: (503) 235-3956

The provider's authorized official is Marilyn Wasson .
The authorized official title is Billing Manager and has the following contact phone number (503) 235-5484.

The CLIA number assigned to this NPI record is 38D2166474 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 3/26/2015.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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: 4/28/2024

NPI Synchronization or Removal

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