Revitalize Wellness Center

LBN: Revitalize Wellness Center
Revitalize Wellness Center is an health care organization with primary practice located at 51577 Columbia River Hwy Suite C, Scappoose OR 97056-8409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Revitalize Wellness Center can be contacted via phone (503) 396-4807, or through Jacobson, Todd via phone (503) 397-5211.

Contact Information

Primary practice address
51577 Columbia River Hwy Suite C Scappoose OR 97056-8409
Phone: (503) 396-4807
Fax: (503) 397-5373
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Todd
Phone: (503) 397-5211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X Oregon

Profile Details

NPI number 1215394119
LBN Legal business name Revitalize Wellness Center
DBA Doing business as
Authorized official Jacobson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2016
Last updated Mar 25th, 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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