Revitalize Wellness Center
Revitalize Wellness Center is a Pain Clinic/Center in Scappoose, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
Practice location Address checks out
51577 Columbia River Hwy Ste CScappoose, OR 97056-8409
Phone: (503) 396-4807
Fax: (503) 397-5373
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X (OR) |
|---|
Record details
| NPI number | 1215394119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Columbia Community Mental Health |
| Authorized official | Todd Jacobson — Executive Director · (503) 397-5211 |
| NPI enumerated | January 22, 2016 |
| Last updated in NPPES | August 28, 2024 |
| Certification date | August 28, 2024 |
| Mailing address | 58646 McNulty Way, Saint Helens, OR 97051-6210 |