| Zocalo Wellness, Llc | |
|
2100 Ne Broadway St Ste 225 Portland OR 97232-1544 | |
| (503) 724-4321 | |
| (971) 255-1754 |
| Full Name | Zocalo Wellness, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2100 Ne Broadway St Ste 225, Portland, Oregon |
| Authorized Official Name and Position | Adrianna Nichole Locke (OWNER) |
| Authorized Official Contact | 5037244321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zocalo Wellness, Llc 2100 Ne Broadway St Ste 225 Portland OR 97232-1544 Ph: (503) 724-4321 | Zocalo Wellness, Llc 2100 Ne Broadway St Ste 225 Portland OR 97232-1544 Ph: (503) 724-4321 |
| NPI Number | 1336513662 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336513662 | NPI | - | NPPES |
| 500639308 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AC156050 (Oregon) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
The Wellness Center Pdx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Cascadia Behavioral Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514 |