OrganizationActive
Integrative Wellness Center, LLC
NPI 1861650301 · Pain Clinic/Center · Portland, OR
Provider details
- NPI number
- 1861650301
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Mcconnell, Licensed Acupunturist(503) 997-7181
- License
- AC00850 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2343 Se 44th Ave
Portland, OR 97215-3721
Phone: (503) 997-7181
Street-level locationGet directions
Mailing address
2343 Se 44th Ave
Portland, OR 97215-3721
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2008-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.