Provider Demographics
NPI:1417746389
Name:RESTORATION WOUND CARE AND RESEARCH LLC
Entity type:Organization
Organization Name:RESTORATION WOUND CARE AND RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:503-999-0689
Mailing Address - Street 1:2045 GREENWOOD RD S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-9696
Mailing Address - Country:US
Mailing Address - Phone:503-999-0689
Mailing Address - Fax:718-362-1651
Practice Address - Street 1:2045 GREENWOOD RD S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-9696
Practice Address - Country:US
Practice Address - Phone:503-999-0689
Practice Address - Fax:718-362-1651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty