National Provider Identifier Database

PORTLAND WELLNESS CARE
Rehabilitation


Contact Information

PORTLAND WELLNESS CARE
4160 NE SANDY BLVD
SUITE 1100
PORTLAND, OR97212-5336
Phone: 503-249-9000
Fax: 503-719-6829
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for PORTLAND WELLNESS CARE

NPI Number 1801286117
Legal business name
LBN
PORTLAND WELLNESS CARE
Authorized official MARK HOSKO - (FOUNDER)
Entity Organization
Organization subpart No
Enumeration date 01/26/2015
Last updated 04/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 261QR0400X

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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