The Advanced Wellness Center Pdx

LBN: Advanced Wellness Center
The Advanced Wellness Center Pdx is an health care organization with primary practice located at 3150 Se Belmont St , Portland OR 97214-4029. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Advanced Wellness Center can be contacted via phone (503) 389-5545, or through Gabriel, Mark via phone (503) 389-5545.

Contact Information

Primary practice address
3150 Se Belmont St Portland OR 97214-4029
Phone: (503) 389-5545
Fax: (888) 847-1238
Website:
Map and Directions
Authorized official contact:
Name: Gabriel, Mark
Phone: (503) 389-5545

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Managed Care Organizations / Preferred Provider Organization 305R00000X AC171030 Oregon

Profile Details

NPI number 1275921660
LBN Legal business name Advanced Wellness Center
DBA Doing business as The Advanced Wellness Center Pdx
Authorized official Gabriel, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2015
Last updated Dec 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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