Advanced Wellness Center LLC
NPI 1245632447ActiveOrganization· Chiropractor· Portland, OR
Chiropractor in Portland, Oregon, registered in NPPES in September 2014. The authorized official on file is Mark Mahmoud Gabriel, DC, Owner. Enrolled in Medicare as dme supplier - medical supply company and part b supplier - clinic/group practice.
Overview
| NPI | 1245632447 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2014 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5070 | OR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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