- Practice location
- 3150 SE Belmont St, Portland, OR 97214-4029
- Phone
- 503-389-5545
- Fax
- 888-847-1238
- Last updated
- December 2, 2021
Advanced Wellness Center is a healthcare organization based in Portland, OR. Advanced Wellness Center practices in Portland, OR. The NPI Number for Advanced Wellness Center is 1275921660 and holds a License No. AC171030 (OR). The current practice location address for Advanced Wellness Center is 3150 SE Belmont St, Portland, OR 97214-4029 and can be reached out via phone at 503-389-5545 and via fax at 888-847-1238.
Provider Profile Details
- NPI Number
- 1275921660
- Provider Name
- Advanced Wellness Center
- Provider Entity Type
- Organization
- Address
- 3150 SE Belmont St, Portland, OR 97214-4029
- Phone Number
- 503-389-5545
- Fax Number
- 888-847-1238
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Mark Gabriel · Chiropractor · 503-389-5545
- Other Names
- The Advanced Wellness Center Pdx (Doing Business As)
- Provider Enumeration Date
- January 7, 2015
- Last Update Date
- December 2, 2021
- Certification Date
- December 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3150 SE Belmont St
Portland, OR 97214-4029 - City
- Portland
- State
- Oregon
- Zip
- 97214-4029
- Phone Number
- 503-389-5545
- Fax Number
- 888-847-1238
Provider Business Mailing Address Details
- Address
- 3150 SE Belmont St
Portland, OR 97214-4029 - City
- Portland
- State
- OR
- Zip
- 97214-4029
- Phone Number
- 503-389-5545
- Fax Number
- 888-847-1238
License Information
- License Number (1)
- AC171030
- License State (1)
- OR
- Taxonomy (1)
- Preferred Provider Organization · 305R00000X
- Taxonomy (2)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Wellness Center?
The NPI number of Advanced Wellness Center is 1275921660. It was assigned on January 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Advanced Wellness Center?
Advanced Wellness Center is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in OR under license number AC171030.
Where does Advanced Wellness Center practice?
The practice location is 3150 SE Belmont St, Portland, OR 97214-4029. The office can be reached at 503-389-5545 (phone) or 888-847-1238 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275921660 directly on the NPPES registry website.