| NPI | 1598294142 |
|---|---|
| Doing Business As | RISE PRIME WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NAVID HANNANVASH CEO/Owner/President 503-453-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |