institution
Zocalo Wellness, Llc
Clinic/Center in Portland, Oregon
NPI 1336513662

Zocalo Wellness, Llc is a Clinic/Center based in Portland, OR. Zocalo Wellness, Llc practices in Portland, OR. The NPI Number for Zocalo Wellness, Llc is 1336513662 and holds a License No. AC156050 (Oregon).

The current practice location address for Zocalo Wellness, Llc is 2100 Ne Broadway St Ste 225, Portland, OR and can be reached out via phone at 503-724-4321 and via fax at 971-255-1754.

Location: 2100 Ne Broadway St Ste 225, Portland, OR, 97232-1544
institution
Provider Profile Details
NPI Number
1336513662
Provider Name
Zocalo Wellness, Llc
Credential
Provider Entity Type
Organization
Address
2100 Ne Broadway St Ste 225, Portland, OR, 97232-1544
Phone Number
503-724-4321
Fax Number
971-255-1754
Provider Enumeration Date
11/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500639308 05 OR
institution
Provider Business Practice Location Address Details
Address
2100 Ne Broadway St Ste 225
City
State
Zip
97232-1544
Phone Number
503-724-4321
Fax Number
971-255-1754
person
Provider Business Mailing Address Details
Address
2100 Ne Broadway St Ste 225
City
State
Zip
97232-1544
Phone Number
503-724-4321
Fax Number
971-255-1754
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
AC156050 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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