REVITALIZE WELLNESS CENTER is a pain clinic center in Scappoose, OR. REVITALIZE WELLNESS CENTER NPI is 1215394119. The provider is registered as an organization entity type.
The provider's business location address is:
51577 COLUMBIA RIVER HWY SUITE C SCAPPOOSE, OR ZIP 97056-409 Phone: (503) 396-4807 Fax: (503) 397-5373
The provider's authorized official is Todd Jacobson . The authorized official title is Executive Director and has the following contact phone number (503) 397-5211.
The enumeration date for this NPI number is 1/22/2016 and was last updated on 8/28/2024.
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:
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: 11/21/2025
NPI Synchronization or Removal
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