Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalize Wellness Group Corp

Organization Naturopath · NPI 1730648304

Revitalize Wellness Group Corp is a Naturopath in Wilsonville, Oregon. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29781 SW Town Center Loop W Ste 700
Wilsonville, OR 97070-8901
Phone: (503) 786-9062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X

Record details

NPI number1730648304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Dorman — President · (503) 786-9062
NPI enumeratedMarch 13, 2019
Last updated in NPPESMarch 13, 2019
Mailing address2715 Se Monroe St, Milwaukie, OR 97222-7631

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