Medical Wellness Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD167486 Issued in OR

Legal business name

MEDICAL WELLNESS GROUP LLC

Practice address

1359 NE 35TH Avenue
Portland, OR 97232

Phone

(503) 389-5545

NPI assigned

Sep 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suzanne A Salhab, M.D.

Title

Owner

Phone

(503) 389-5545

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Wellness Center PDX Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1003218223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 SOARING AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171391",
            "telephone_number": "813-765-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-389-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "SALHAB",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-389-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD167486",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "R177434",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL SOLE PROVIDER NPI",
            "identifier": "1811200165",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison S Medford, MA, ATR, LMFT, LPC
• Jacqueline Medford
• Medical Evaluations of Oregon-Washington
• Medical Teams International
• Medical Wellness Care
• Medication Management Program
• Medicine of the People
• Natalie Medina Morales
• Jai Medina
• Omar Medina, BSW, QMHA

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.