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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EASTSIDE WELLNESS CENTER, LLC

Active Organization

EASTSIDE WELLNESS CENTER, LLC is a Chiropractor organization located in PORTLAND, Oregon. NPI 1053504696 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · PORTLAND, OR

Registration Details

NPI Number
1053504696
Provider Type
Organization
NPI Issued
Aug 27, 2007 (18.994759042053 yrs)
Last Updated
Dec 13, 2012
Licenses
3758 (OR)
3372 (OR)

Practice Information

Address
5331 SW MACADAM AVE
SUITE 105
PORTLAND, OR, 972396104
Browse OR providers · Browse ZIP 97239
Phone
5034457999
Fax
5034457997
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.