SERENITY WELLNESS CLINIC LLC NPI 1205459880

NPI Information

  • NPI: 1205459880
  • Provider Name: SERENITY WELLNESS CLINIC LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 12570 SW 69TH AVE STE 101
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 987-3622

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NPI Details

SERENITY WELLNESS CLINIC LLC is a health service clinic center in Tigard, OR. SERENITY WELLNESS CLINIC LLC NPI is 1205459880. The provider is registered as an organization entity type.

The provider's business location address is:

12570 SW 69TH AVE STE 101
TIGARD, OR
ZIP 97223-552
Phone: (503) 987-3622
Fax: (503) 987-3022

The provider's authorized official is Bijana Devo Kadakia .
The authorized official title is Owner and has the following contact phone number (503) 987-3622.

The enumeration date for this NPI number is 5/18/2020 and was last updated on 6/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

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

NPI Synchronization or Removal

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