Wevolve Clinic LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WEVOLVE CLINIC LLC

Practice address

825 NE 20TH Ave Ste 320
Portland, OR 97232-2275

Phone

(602) 244-1358

NPI assigned

Aug 8, 2023

Organization subpart

No

Name

Mohamed AhmedNPI 1114759495

Title

Ceo

Phone

(619) 315-4708

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Ahmed

  • Rehabilitation Practitioner
  • Portland, OR
  • NPI 1114759495
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2024.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1841973757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 20TH AVE STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 20TH AVE STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322275",
            "telephone_number": "602-244-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEVOLVE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-315-4708"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Wetzel Curry, M.D.
• Brian Wetzel, N.P
• Maria Wetzel
• Susan Marie Wetzel, RD LD
• Tanner Wetzel, BEHAVIORAL TECHNICIA
• Ryan Stuart Wexler, ND
• Ginger W Wey, M.D.
• Glenn Douglas Weybright, M.S., CCC-SLP
• Andy Weyer, DPT, PHD
• Merrill Wagner Weyerhauser, PHD

• All providers in Portland, OR
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.