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Active NPI 1831641505 Organization (Entity Type 2)

Whitaker Wellness Llc

Clinic/Center • Gresham, OR

About Whitaker Wellness Llc NPI 1831641505 Summary

Whitaker Wellness Llc is a verified healthcare organization specializing in Clinic/Center operating in Gresham, OR. Located at 4253 SE 182ND AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1831641505.

Administrative operations and authorized compliance are overseen by Michael Whitaker (Member).

The facility is associated with 8 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4253 Se 182nd Ave

Gresham, OR 970305083

Telephone 5036615090

Authorized Official Information

Authorized Contact Name

DR. Michael Whitaker , D.C.

Title / Role

Member

Official Telephone

5036615090

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

8 Linked
Taralea Locke , LMT NPI 1104149079

Massage Therapist

Gresham, OR

View Practitioner Profile →

Chiropractor

Gresham, OR

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Dr. David Rief , DC NPI 1255880316

Chiropractor

Gresham, OR

View Practitioner Profile →
Stephanie Ross , LMT NPI 1467999581

Chiropractor

Gresham, OR

View Practitioner Profile →
Gabriela Morales NPI 1649081829

Massage Therapist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2016

Registered at 4253 SE 182ND AVE, GRESHAM, OR 970305083 (Tel: 5036615090)

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Updated Business Mailing Address October 28, 2016

Registered at 4253 SE 182ND AVE, GRESHAM, OR 970305083 (Tel: 5036615090)

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Organization / Clinic Name Updated October 28, 2016

Operating as WHITAKER WELLNESS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Clinic/Center (License #5545 in OR)

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Initial NPI Registration & Enumeration October 28, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1831641505
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 28, 2016
Last Update: October 28, 2016

Mailing Address

4253 Se 182nd Ave

Gresham, OR 970305083

Phone: 5036615090

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.