Organization
PORTLAND WELLNESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E HOSKO M.D. (FOUNDER)
(503) 249-9000
Entity
Organization
Contact information
Practice address
4160 NE SANDY BLVD, SUITE 1100, PORTLAND, OR 97212-5336
(503) 249-9000
(503) 719-6829
Mailing address
1647 SE CONDOR AVE, GRESHAM, OR 97080-7185
(503) 730-8705
(503) 661-7488
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
261QR0400X
OR
Other
Enumeration date
01/26/2015
Last updated
04/29/2015
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