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Rise To Wellness LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Portland, OR. Organization (NPI-2).

NPI number1962270629
StatusActive
Last updated in NPPESDec 12, 2023

Details

NPI
1962270629
Entity type
Organization (NPI-2)
Legal business name
Rise To Wellness LLC
Organization subpart
No
Enumeration date
Dec 12, 2023
Certification date
Dec 12, 2023
Last updated
Dec 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1100 Se Taylor St
Portland, OR 97214-2509

Phone 602-838-0783

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541

Phone 602-838-0783

Authorized official

Noor Abdirazak
Ceo
6028380783

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