INTEGRATIVE WELLNESS CENTER, LLC (NPI# 1861650301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861650301 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE WELLNESS CENTER, LLC |
| Practice Address |
2343 Se 44th Ave Portland OR 97215-3721 |
| Practice Telephone | 5039977181 |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2008-05-31 |
| Authorized Official Name | RICHARD BRAD MCCONNELL (LICENSED ACUPUNTURIST) |
| Authorized Official Telephone | 5039977181 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
AC00850 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353735 | Integrative Wellness Center, LLC | Naturopath | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2019-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Integrative Wellness Center, LLC | 58 Pheasant Run Drive, Gales Ferry, CT 06335 |
| Colorado Business Entities | INTEGRATIVE WELLNESS CENTER, LLC | 3980 Boradway Ste 103, Boulder, CO 80304 |
| Street Address |
2343 SE 44TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538807 | Richard Brad Mcconnell | Acupuncturist | 2343 Se 44th Ave, Portland, OR 97215-3721 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755596 | Monarch Health and Wellness LLC | Clinic/Center | 4855 River Rd N, Keizer, OR 97303-4537 | 2020-06-23 |
| 1669875480 | Duncan Health Centers, LLC | Clinic/Center | 11900 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-2976 | 2014-10-07 |
| 1972813962 | Columbia Pain and Spine Institute | Clinic/Center | 689 Nw Burnside Road, Gresham, OR 97030 | 2010-10-08 |
| 1528067758 | South Eugene Surgi-center, LLC | Clinic/Center | 675 E 19th Ave, Eugene, OR 97401-4304 | 2005-07-19 |
| 1215394119 | Revitalize Wellness Center | Clinic/Center | 51577 Columbia River Hwy, Suite C, Scappoose, OR 97056-8409 | 2016-01-22 |
| 1972811842 | Anita J Dekker Md, LLC | Clinic/Center | 3469 Hilyard St, Eugene, OR 97405-3815 | 2010-09-14 |
| 1104064617 | Smj Consulting, Inc | Clinic/Center | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2009-01-22 |
| 1316104615 | Bend Spine & Pain Specialists, LLC | Clinic/Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3925 | 2008-05-22 |
| 1538219993 | Northwest Pain Management PC | Clinic/Center | 1322 E Mcandrews Rd, Suite 101, Medford, OR 97504-6177 | 2007-01-10 |
| 1811920366 | Middle Fork Surgery Center LLC | Clinic/Center | 360 S Garden Way, Suite 100, Eugene, OR 97401-8173 | 2006-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.