Revitalize Wellness Group Corp

LBN: Revitalize Wellness Group Corp
Revitalize Wellness Group Corp is an health care organization with primary practice located at 29781 Sw Town Center Loop W Ste 700 , Wilsonville OR 97070-8901. The organization recently has only one registered license in Other Service Providers / Naturopath, which is considered as the primary health care specialty. Revitalize Wellness Group Corp can be contacted via phone (503) 786-9062, or through Dorman, Lori R via phone (503) 786-9062.

Contact Information

Primary practice address
29781 Sw Town Center Loop W Ste 700 Wilsonville OR 97070-8901
Phone: (503) 786-9062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Lori R
Phone: (503) 786-9062

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X

Profile Details

NPI number 1730648304
LBN Legal business name Revitalize Wellness Group Corp
DBA Doing business as
Authorized official Dorman, Lori R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 5 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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