TENACIOUS RESILIENCE MENTAL WELLNESS LLC NPI 1194689786

NPI Information

  • NPI: 1194689786
  • Provider Name: TENACIOUS RESILIENCE MENTAL WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 6214 SE MILWAUKIE AVE
    PORTLAND, OR
    ZIP 97202
  • Phone: (503) 389-5366

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NPI Details

TENACIOUS RESILIENCE MENTAL WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Portland, OR. TENACIOUS RESILIENCE MENTAL WELLNESS, LLC NPI is 1194689786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6214 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-417
Phone: (503) 389-5366
Fax: (866) 635-1779

The provider's authorized official is Timothy J Lafolette .
The authorized official title is Owner/ceo and has the following contact phone number (503) 389-5366.

The enumeration date for this NPI number is 12/10/2025 and was last updated on 12/10/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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