| The Advanced Wellness Center Pdx | |
|
3150 Se Belmont St Portland OR 97214-4029 | |
| (503) 389-5545 | |
| (888) 847-1238 |
| Full Name | The Advanced Wellness Center Pdx |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3150 Se Belmont St, Portland, Oregon |
| Authorized Official Name and Position | Mark Gabriel (CHIROPRACTOR) |
| Authorized Official Contact | 5033895545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Advanced Wellness Center Pdx 3150 Se Belmont St Portland OR 97214-4029 Ph: (503) 389-5545 | The Advanced Wellness Center Pdx 3150 Se Belmont St Portland OR 97214-4029 Ph: (503) 389-5545 |
| NPI Number | 1275921660 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275921660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | AC171030 (Oregon) | Secondary |
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