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Revitalize Wellness Center

Pain Clinic/Center in Scappoose, OR · enumerated 2016 · authorized official Todd Jacobson, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215394119

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Registry record

Entity type Organization (Type 2)
Legal business name Revitalize Wellness Center
Parent organization Columbia Community Mental Health
Practice address 51577 Columbia River Hwy, Suite C, Scappoose, OR, 97056
Phone (503) 396-4807
Fax (503) 397-5373
Enumeration date Jan 22, 2016
Last updated in NPPES Aug 28, 2024

Taxonomy & classification

261QP3300X Pain Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Todd Jacobson
Title Executive Director
Phone (503) 397-5211

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-28. Verify at npiregistry.cms.hhs.gov.
Where is Revitalize Wellness Center located?
The practice location on file with NPPES is in Scappoose, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-28.