THE WELLNESS CENTER PDX – NPI #1003218223
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THE WELLNESS CENTER PDX is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1003218223 to THE WELLNESS CENTER PDX on September 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE WELLNESS CENTER PDX” is a dba name, the actual legal business name for this organization is MEDICAL WELLNESS GROUP LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Nov 25, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE WELLNESS CENTER PDX below.

NPI Profile for
MEDICAL WELLNESS GROUP LLC

NPI Number
1003218223
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL WELLNESS GROUP LLC
Doing Business As (dba): THE WELLNESS CENTER PDX
Primary location
1359 NE 35TH AVENUE
PORTLAND, OR 97232
Phone: (503) 389-5545 Fax:
Mailing address
6222 SOARING AVE
TEMPLE TERRACE, FL 33617-1391
Phone: (813) 765-1930 Fax:
Organization Subpart
No
Authorized Official
SUZANNE SALHAB
OWNER
Phone: (503) 389-5545
Updated
Identifiers

Identifiers for THE WELLNESS CENTER PDX

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL SOLE PROVIDER NPIOR1811200165
OTHERMEDICARE IDORR177434
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME119290

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.