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WILD WISH COUNSELING LLC NPI 1548845563


NPI Information

NPI: 1548845563
Provider Name: WILD WISH COUNSELING LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR
ZIP 97005
Phone: (503) 906-7945
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WILD WISH COUNSELING LLC is a professional counselor in Beaverton, OR. WILD WISH COUNSELING LLC NPI is 1548845563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR
ZIP 97005-687
Phone: (503) 906-7945

The provider's authorized official is Wendy Esther .
The authorized official title is Owner and has the following contact phone number (503) 906-7945.

The enumeration date for this NPI number is 3/11/2021 and was last updated on 3/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.