WELLBRIDGE PAIN CARE LLC NPI 1356754691

NPI Information

  • NPI: 1356754691
  • Provider Name: WELLBRIDGE PAIN CARE LLC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Doing Business As: THE WELLBRIDGE CLINIC
  • Address: 3705 SE CESAR CHAVEZ BLVD.
    PORTLAND, OR
    ZIP 97202
  • Phone: (503) 544-9611

Map and Directions

Get Directions

NPI Details

WELLBRIDGE PAIN CARE LLC is an acupuncturist in Portland, OR. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. WELLBRIDGE PAIN CARE LLC NPI is 1356754691. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Wellbridge Clinic.

The provider's business location address is:

3705 SE CESAR CHAVEZ BLVD.
PORTLAND, OR
ZIP 97202
Phone: (503) 544-9611
Fax: (971) 339-3897

The provider's authorized official is John Alan Rybak .
The authorized official title is Owner and has the following contact phone number (503) 544-9611.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 1/9/2022.

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
1171100000XAcupuncturistAC161027OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500727866MEDICAIDOREGON

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI