Community Wellness Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

3857 Issued in OR

Legal business name

COMMUNITY WELLNESS CENTER

Practice address

1995 8TH Ave
West Linn, OR 97068-4604

Phone

(503) 351-8427

Fax

(503) 406-2294

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Ryan Bellacov, DC

Title

President

Phone

(503) 351-8427

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1699167239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 8TH AVE",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684604",
            "telephone_number": "503-351-8427",
            "fax_number": "503-406-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 8TH AVE",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684604",
            "telephone_number": "503-351-8427",
            "fax_number": "503-406-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BELLACOV",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-351-8427",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Colarchik, LMT
• Randall Chaney Coleman, M.D.
• Katherine Collinsworth, PT, DPT
• Columbia Medical Supply, LLC
• Gregory Lloyd Combs, M.D.
• Mary Frances Conedera, PMHNP
• Tyleen Marie Conrow, LMT
• Richard J. Cook, D.D.S.,M.S.D.
• Laura Lynn Cooley, MD
• Deborah Cooper, RDH

• Multi-Specialty Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.