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1215394119
REVITALIZE WELLNESS CENTER
SCAPPOOSE, OR
NPI
1215394119
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Entity Type
Organization
Authorized Contact
TODD JACOBSON
Executive Director
503-397-5211
Organization Subpart ?
Yes
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2016-01-22
Last Update Date
2024-08-28
Business Address
REVITALIZE WELLNESS CENTER
51577 COLUMBIA RIVER HWY SUITE C
SCAPPOOSE, OR 97056-8409
Phone number: 503-396-4807
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Mailing Address
REVITALIZE WELLNESS CENTER
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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