| The Wellness Center Pdx | |
|
1359 Ne 35th Avenue Portland OR 97232 | |
| (503) 389-5545 | |
| Not Available |
| Full Name | The Wellness Center Pdx |
|---|---|
| Speciality | Family Medicine |
| Location | 1359 Ne 35th Avenue, Portland, Oregon |
| Authorized Official Name and Position | Suzanne A Salhab (OWNER) |
| Authorized Official Contact | 5033895545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Center Pdx 6222 Soaring Ave Temple Terrace FL 33617-1391 Ph: (813) 765-1930 | The Wellness Center Pdx 1359 Ne 35th Avenue Portland OR 97232 Ph: (503) 389-5545 |
| NPI Number | 1003218223 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003218223 | NPI | - | NPPES |
| R177434 | Other | OR | MEDICARE ID |
| 1811200165 | Other | OR | INDIVIDUAL SOLE PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD167486 (Oregon) | Primary |
| 207Q00000X | Family Medicine | ME119290 (Florida) | Secondary |
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