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RESTORATIVE HEALTH CLINIC OF PORTLAND LLC NPI 1538761671


NPI Information

NPI: 1538761671
Provider Name: RESTORATIVE HEALTH CLINIC OF PORTLAND LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6564 SE LAKE RD STE 100
MILWAUKIE, OR
ZIP 97222
Phone: (503) 780-6921
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RESTORATIVE HEALTH CLINIC OF PORTLAND LLC is a clinic center in Milwaukie, 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). RESTORATIVE HEALTH CLINIC OF PORTLAND LLC NPI is 1538761671. The provider is registered as an organization entity type.

The provider's business location address is:

6564 SE LAKE RD STE 100
MILWAUKIE, OR
ZIP 97222-238
Phone: (503) 780-6921

The provider's authorized official is Melanie Stein .
The authorized official title is Owner and has the following contact phone number (503) 780-6921.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/13/2020.


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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