Rise To Wellness Llc | |
1100 Se Taylor St Portland OR 97214-2509 | |
(602) 838-0783 | |
Not Available |
Full Name | Rise To Wellness Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1100 Se Taylor St, Portland, Oregon |
Authorized Official Name and Position | Noor Abdirazak (CEO) |
Authorized Official Contact | 6028380783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rise To Wellness Llc 2355 State St Ste 101 Salem OR 97301-4541 Ph: (602) 838-0783 | Rise To Wellness Llc 1100 Se Taylor St Portland OR 97214-2509 Ph: (602) 838-0783 |
NPI Number | 1962270629 |
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Provider Enumeration Date | 12/12/2023 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962270629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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