Wellness At The Center | |
8931 Se Foster Rd Suite 102 Portland OR 97266-4661 | |
(503) 255-7000 | |
(503) 255-7001 |
Full Name | Wellness At The Center |
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Speciality | Clinic/center - Multi-specialty |
Location | 8931 Se Foster Rd, Portland, Oregon |
Authorized Official Name and Position | Dixie Leigh Young Small (OWNER YOUNG EAST ASIAN MEDICINE) |
Authorized Official Contact | 5039848301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellness At The Center 11731 Se Lexington St Portland OR 97266-5935 Ph: (503) 255-7000 | Wellness At The Center 8931 Se Foster Rd Suite 102 Portland OR 97266-4661 Ph: (503) 255-7000 |
NPI Number | 1568761344 |
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Provider Enumeration Date | 03/20/2011 |
Last Update Date | 02/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568761344 | NPI | - | NPPES |
500653508 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | AC01277 (Oregon) | Primary |
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