WISDOM WITHIN WELLNESS LLC NPI 1437925427

NPI Information

  • NPI: 1437925427
  • Provider Name: WISDOM WITHIN WELLNESS LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1235 SE DIVISION ST STE 205
    PORTLAND, OR
    ZIP 97202
  • Phone: (503) 473-2910

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NPI Details

WISDOM WITHIN WELLNESS LLC is an adult mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WISDOM WITHIN WELLNESS LLC NPI is 1437925427. The provider is registered as an organization entity type.

The provider's business location address is:

1235 SE DIVISION ST STE 205
PORTLAND, OR
ZIP 97202-000
Phone: (503) 473-2910
Fax: (844) 440-2129

The provider's authorized official is Kellyjoy Kanaley .
The authorized official title is Member Manager/president and has the following contact phone number (503) 473-2910.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 12/4/2023.

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
1261QM0850XClinic/CenterAdult 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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