| Rhizome Wellness Llc | |
|
5010 Ne 33rd Ave Portland OR 97211-6946 | |
| (503) 238-1065 | |
| Not Available |
| Full Name | Rhizome Wellness Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5010 Ne 33rd Ave, Portland, Oregon |
| Authorized Official Name and Position | Nicholas Becker (SOLE MEMBER) |
| Authorized Official Contact | 3017065067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhizome Wellness Llc 4523 Ne 82nd Ave Portland OR 97220-4920 Ph: (301) 706-5067 | Rhizome Wellness Llc 5010 Ne 33rd Ave Portland OR 97211-6946 Ph: (503) 238-1065 |
| NPI Number | 1215528153 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215528153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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