| Surge Wellness | |
|
2188 Sw Park Pl Suite 10 Portland OR 97205-1100 | |
| (503) 568-1390 | |
| Not Available |
| Full Name | Surge Wellness |
|---|---|
| Speciality | Massage Therapist |
| Location | 2188 Sw Park Pl, Portland, Oregon |
| Authorized Official Name and Position | Casey Holliman (PRESIDENT) |
| Authorized Official Contact | 5035681390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surge Wellness 2188 Sw Park Pl Suite 10 Portland OR 97205-1100 Ph: (503) 568-1390 | Surge Wellness 2188 Sw Park Pl Suite 10 Portland OR 97205-1100 Ph: (503) 568-1390 |
| NPI Number | 1811302607 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811302607 | NPI | - | NPPES |
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