# MEDICAL WELLNESS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wellness Center PDX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003218223
- **Authorized official:** DR. SUZANNE A SALHAB M.D. (OWNER)
- **Authorized official phone:** (503) 389-5545

## Contact information

- **Practice address:** 1359 NE 35TH AVENUE, PORTLAND, OR 97232
- **Practice address phone:** (503) 389-5545
- **Mailing address:** 6222 SOARING AVE, TEMPLE TERRACE, FL 33617-1391
- **Mailing address phone:** (813) 765-1930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD167486 | OR | Yes |
| 207Q00000X | Family Medicine Physician | ME119290 | FL | — |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 11/25/2014