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INTEGRATIVE WELLNESS CENTER LLC NPI 1861650301


NPI Information

NPI: 1861650301
Provider Name: INTEGRATIVE WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2343 SE 44TH AVE
PORTLAND, OR
ZIP 97215
Phone: (503) 997-7181
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INTEGRATIVE WELLNESS CENTER, LLC is a pain clinic center in Portland, OR. INTEGRATIVE WELLNESS CENTER, LLC NPI is 1861650301. The provider is registered as an organization entity type.

The provider's business location address is:

2343 SE 44TH AVE
PORTLAND, OR
ZIP 97215-721
Phone: (503) 997-7181

The provider's authorized official is Richard Brad Mcconnell .
The authorized official title is Licensed Acupunturist and has the following contact phone number (503) 997-7181.

The enumeration date for this NPI number is 5/31/2008 and was last updated on 5/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainAC00850OREGONYes

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

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