Organization
EASTSIDE WELLNESS CENTER, LLC
Active
Other names
Element Wellness and Sports Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH I GOODWILL D.C. (OWNER)
(503) 445-7999
Entity
Organization
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 105, PORTLAND, OR 97239-6104
(503) 445-7999
(503) 445-7997
Mailing address
5331 SW MACADAM AVE, SUITE 105, PORTLAND, OR 97239-6104
(503) 445-7999
(503) 445-7997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3372
OR
225100000X
Physical Therapist
3758
OR
Other
Enumeration date
08/27/2007
Last updated
12/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up