NPI | 1003218223 |
---|---|
Doing Business As | THE WELLNESS CENTER PDX |
Entity Type | Organization |
Authorized Contact | SUZANNE A SALHAB Owner 503-389-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD167486) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME119290) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-11-25 |