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REVITALIZE WELLNESS CENTER
NPI 1215394119
Clinic/Center - Pain in Scappoose, OR

Active since January 22, 2016
51577 COLUMBIA RIVER HWY, SUITE C, SCAPPOOSE, OR 97056(503) 396-4807(503) 397-5373 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revitalize Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE WELLNESS CENTER (NPI 1215394119) is a healthcare organization registered as a pain in Scappoose, Oregon and active in the NPI registry since January 2016. The organization lists Todd Jacobson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215394119
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameREVITALIZE WELLNESS CENTER
Location Address51577 COLUMBIA RIVER HWY, SUITE CScappoose, OR 97056-8409
Mailing Address58646 Mcnulty WaySaint Helens, OR 97051-6210 · (503) 397-5211 · Fax (503) 397-5373
Phone(503) 396-4807
Fax(503) 397-5373
Organization SubpartYesParent: Columbia Community Mental Health
Authorized OfficialTodd JacobsonExecutive Director · (503) 397-5211
Enumeration DateJanuary 22, 2016
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1215394119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
51577 COLUMBIA RIVER HWY, Scappoose, OR 97056
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLYA VASILYEVNA KURKOSKI PHYSICAL THERAPIST
Physical Therapist
51577 COLUMBIA RIVER HWY, SUITE A
SCAPPOOSE, OR 97056
Columbia County (503) 543-0254
MR. JAMES W CAVIN PT
Physical Therapist
51577 COLUMBIA RIVER HWY, SUITE A
SCAPPOOSE, OR 97056
Columbia County (503) 543-0254
THERAPEUTIC ASSOCIATES INC
Physical Therapist
51577 COLUMBIA RIVER HWY, STE A
SCAPPOOSE, OR 97056
Columbia County (503) 543-0254
ALICIA RENEE HEIGES LMT
Massage Therapist
51577 COLUMBIA RIVER HWY, SUITE D, ROOM 1
SCAPPOOSE, OR 97056
Columbia County (503) 987-4265
BRANDY ESTOOS LMT
Massage Therapist
51577 COLUMBIA RIVER HWY
SCAPPOOSE, OR 97056
Columbia County (503) 410-4255
AMBER HALL
Massage Therapist
51577 COLUMBIA RIVER HWY
SCAPPOOSE, OR 97056
Columbia County (503) 410-0059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize Wellness Center's NPI number?

The NPI number for Revitalize Wellness Center is 1215394119. It was assigned to this organization in the NPPES registry on January 22, 2016.

Where is Revitalize Wellness Center located?

Revitalize Wellness Center is located at 51577 Columbia River Hwy Suite C, Scappoose, OR 97056. The listed phone number is (503) 396-4807.

What is Revitalize Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Revitalize Wellness Center was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.