Prisma Wellness Llc

LBN: Prisma Wellness Llc
Prisma Wellness Llc is an health care organization with primary practice located at 3705 Se Cesar Chavez Blvd , Portland OR 97202-1704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Prisma Wellness Llc can be contacted via phone (206) 785-1015, or through Wiener, Scott via phone (206) 785-1015.

Contact Information

Primary practice address
3705 Se Cesar Chavez Blvd Portland OR 97202-1704
Phone: (206) 785-1015
Fax: (206) 785-1023
Website:
Map and Directions
Authorized official contact:
Name: Wiener, Scott Doctor of Medicine (MD)
Phone: (206) 785-1015

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1154942142
LBN Legal business name Prisma Wellness Llc
DBA Doing business as
Authorized official Wiener, Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2020
Last updated Oct 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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