NPIMap

Organization Active NPI

Advanced Wellness Center LLC

Doing business as The Wellness Center PDX

  • Chiropractor
  • Portland, OR
National Provider Identifier
1245632447
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5070 Issued in OR
Legal business name
ADVANCED WELLNESS CENTER LLC
Doing business as
The Wellness Center PDX
Practice address
3150 SE Belmont St
Portland, OR 97214-4029
Phone
(503) 389-5545
Fax
(888) 847-1238
NPI assigned
Sep 18, 2014
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Dr. Mark Mahmoud Gabriel, DCNPI 1538457585
Title
Owner
Phone
(503) 389-5545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Chiropractor 111N00000X 5070 OR Primary

Addresses

Primary practice location

3150 SE Belmont St
Portland, OR 97214-4029

Mailing address

3150 SE Belmont St
Portland, OR 97214-4029
Phone (503) 389-5545

Other names 1

  • The Wellness Center PDX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170718001538 OR Part B Supplier - Clinic/Group Practice 8123398526 Receives reassigned benefits from 4 practitioners
Practice locations: Portland, OR
O20250811000670 OR DME Supplier - Medical Supply Company 8123398526 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Tax ID family
Advanced Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3150 SE Belmont St
Portland, OR 97214
Phone (503) 206-5043

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1245632447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144029",
            "telephone_number": "503-389-5545",
            "fax_number": "888-847-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144029",
            "telephone_number": "503-389-5545",
            "fax_number": "888-847-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-389-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center PDX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wellness Center PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.