OrganizationActive
Revitalize Wellness Center
NPI 1215394119 · Pain Clinic/Center · Scappoose, OR
Revitalize Wellness Center is a Pain Clinic/Center organization in Scappoose, OR (NPI 1215394119).
Provider details
- NPI number
- 1215394119
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Columbia Community Mental Health
- Organization subpart
- Yes
- Authorized official
- Todd Jacobson, Executive Director(503) 397-5211
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
51577 Columbia River Hwy
Suite C
Scappoose, OR 97056-8409
Phone: (503) 396-4807
Fax: (503) 397-5373
Street-level locationGet directions
Mailing address
58646 Mcnulty Way
Saint Helens, OR 97051-6210
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Frequently asked questions
- What is Revitalize Wellness Center's NPI number?
- Revitalize Wellness Center's National Provider Identifier (NPI) is 1215394119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Wellness Center?
- Revitalize Wellness Center is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revitalize Wellness Center located?
- Revitalize Wellness Center's practice location on file with NPPES is 51577 Columbia River Hwy, Scappoose, OR 97056-8409.
- What is Revitalize Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Wellness Center is (503) 396-4807.
- Who is the authorized official for Revitalize Wellness Center?
- The authorized official listed on Revitalize Wellness Center's NPPES record is Todd Jacobson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Wellness Center's NPI active?
- Yes — Revitalize Wellness Center's NPI (1215394119) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.