# ADVANCED WELLNESS CENTER

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

## Provider details

- **NPI number:** 1275921660
- **Authorized official:** MARK GABRIEL (CHIROPRACTOR)
- **Authorized official phone:** (503) 389-5545

## Contact information

- **Practice address:** 3150 SE BELMONT ST, PORTLAND, OR 97214-4029
- **Practice address phone:** (503) 389-5545
- **Practice address fax:** (888) 847-1238
- **Mailing address:** 3150 SE BELMONT ST, PORTLAND, OR 97214-4029
- **Mailing address phone:** (503) 389-5545
- **Mailing address fax:** (888) 847-1238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | AC171030 | OR | — |

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 12/02/2021