# COMMUNITY WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699167239
- **Authorized official:** RYAN BELLACOV DC (PRESIDENT)
- **Authorized official phone:** (503) 351-8427

## Contact information

- **Practice address:** 1995 8TH AVE, WEST LINN, OR 97068-4604
- **Practice address phone:** (503) 351-8427
- **Practice address fax:** (503) 406-2294
- **Mailing address:** 1995 8TH AVE, WEST LINN, OR 97068-4604
- **Mailing address phone:** (503) 351-8427
- **Mailing address fax:** (503) 406-2294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 3857 | OR | Yes |

## Other

- **Enumeration date:** 02/19/2015
- **Last updated:** 02/19/2015