Organization
NOVO WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IQRA OSMAN (CEO)
(651) 359-0899
Entity
Organization
Contact information
Practice address
1100 SE TAYLOR ST, PORTLAND, OR 97214-2509
(651) 359-0899
Mailing address
1100 SE TAYLOR ST, PORTLAND, OR 97214-2509
(651) 359-0899
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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