Healthcare Provider Details
I. General information
NPI: 1750271789
Provider Name (Legal Business Name): THINK TANK HYPERBARICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
959 CONGRESS ST STE 1
PORTLAND ME
04102-2715
US
IV. Provider business mailing address
959 CONGRESS ST STE 1
PORTLAND ME
04102-2715
US
V. Phone/Fax
- Phone: 207-699-5600
- Fax:
- Phone: 207-699-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LORI
SCOTT-SOLAZZO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 207-699-5600