Revitalize Health & Wellness Llc

LBN: Revitalize Health & Wellness Llc
Revitalize Health & Wellness Llc is an health care organization with primary practice located at 29702 Sw Town Center Loop W Suite C , Wilsonville OR 97070-6481. The organization recently has only one registered license in Other Service Providers / Naturopath, which is considered as the primary health care specialty. Revitalize Health & Wellness Llc can be contacted via phone (503) 583-8128, or through Ritchey, Kristie F via phone (503) 583-8128.

Contact Information

Primary practice address
29702 Sw Town Center Loop W Suite C Wilsonville OR 97070-6481
Phone: (503) 583-8128
Fax: (503) 832-0366
Website:
Map and Directions
Authorized official contact:
Name: Ritchey, Kristie F ND
Phone: (503) 583-8128

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X

Profile Details

NPI number 1679139778
LBN Legal business name Revitalize Health & Wellness Llc
DBA Doing business as
Authorized official Ritchey, Kristie F ND
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2019
Last updated Jun 2nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679139778 NPPES
Oregon MEDICAID 500734840

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