NPI 1003218223

Medical Wellness Group LLC

Organisation Family Medicine Physician Portland, OR

Practice location

Address: 1359 NE 35th Avenue, Portland, OR 97232
Phone: (503) 389-5545
Mailing address: 6222 Soaring Ave, Temple Terrace, FL 33617-1391

Authorised official

Name: Suzanne a Salhab
Title: Owner
Phone: (503) 389-5545

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD167486 (OR)

Other Family Medicine providers in Oregon →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME119290 (FL)

Registry record

NPI: 1003218223
Entity type: Organization
NPI issued: 18 Sep 2014
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.