Organization
WEVOLVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (CEO)
(619) 315-4708
Entity
Organization
Contact information
Practice address
825 NE 20TH AVE STE 320, PORTLAND, OR 97232-2275
(602) 244-1358
Mailing address
825 NE 20TH AVE STE 320, PORTLAND, OR 97232-2275
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/12/2024
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