OrganizationActive
Everybody Wellness, LLC
NPI 1801452818 · Health Service Clinic/Center · Portland, OR
Provider details
- NPI number
- 1801452818
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raquel Rose, Registered Dietitian Nutritionist(503) 825-0075
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2143 Ne Broadway St Ste 9
Portland, OR 97232-1512
Phone: (503) 825-0075
Approximate (ZIP-level) locationGet directions
Mailing address
1331 Lafayette Ave
Oregon City, OR 97045-3814
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.