Eastside Wellness Center, Llc in Portland - Physical Therapist
Eastside Wellness Center, Llc - NPI 1053504696
Eastside Wellness Center, Llc is a Physical Therapist in Portland, Oregon. Eastside Wellness Center, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Eastside Wellness Center, Llc is 1053504696. The last update date is 2012-12-13.
Eastside Wellness Center, Llc's current location address is 5331 Sw Macadam Ave, Portland, Oregon. You can contact this provider via phone number 5034457999 and fax number 5034457997. The mailing address for Eastside Wellness Center, Llc is 5331 Sw Macadam Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Wellness Center, Llc |
|---|---|
| Address | 5331 Sw Macadam Ave, Portland, Oregon |
| Phone Number | 5034457999 |
| Fax Number | 5034457997 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Goodwill I Noah |
| Credentials | D.C. |
| Telephone Number | 5034457999 |
NPI Number Detail
| NPI Number | 1053504696 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | 5331 Sw Macadam Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972396104 |
| Phone Number | 5034457999 |
| Fax Number | 5034457997 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3758 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique identification code assigned to Eastside Wellness Center, Llc by the Centers for Medicare & Medicaid Services?
The Eastside Wellness Center, Llc has been issued the NPI (National Provider Identifier) 1053504696. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eastside Wellness Center, Llc's physical address?
The Eastside Wellness Center, Llc is physically located at 5331 Sw Macadam Ave, in the city of Portland, OR, with the postal code 972396104.
What is the area of specialization for Eastside Wellness Center, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eastside Wellness Center, Llc is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
When did the Eastside Wellness Center, Llc receive its 1053504696?
The Eastside Wellness Center, Llc was issued its 1053504696 on 2007-08-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Eastside Wellness Center, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eastside Wellness Center, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-13.
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