| NPI | 1275921660 |
|---|---|
| Doing Business As | THE ADVANCED WELLNESS CENTER PDX |
| Entity Type | Organization |
| Authorized Contact | MARK GABRIEL Chiropractor 503-389-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: OR AC171030) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-12-02 |