Surge Wellness is a
Massage Therapist based in Portland, Oregon. Surge Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is
2188 Sw Park Pl, Suite 10, Portland, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 568-1390.
NPI number for Surge Wellness is 1811302607 and their current mailing address is 2188 Sw Park Pl, Suite 10, Portland, Oregon. Surge Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811302607.
Healthcare Provider's Profile
| Full Name | Surge Wellness |
|---|
| Type | Facility |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 2188 Sw Park Pl, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811302607
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Surge Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811302607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Surge Wellness is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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