NW MIND-BODY WELLNESS LLC NPI 1467969220

NPI Information

  • NPI: 1467969220
  • Provider Name: NW MIND-BODY WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 38D2210227
  • Address: 945 COLUMBIA ST NE
    SALEM, OR
    ZIP 97301
  • Phone: (503) 707-1950

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NPI Details

NW MIND-BODY WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Salem, OR. NW MIND-BODY WELLNESS, LLC NPI is 1467969220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

945 COLUMBIA ST NE
SALEM, OR
ZIP 97301-205
Phone: (503) 707-1950
Fax: (855) 461-3306

The provider's authorized official is Rebecca Dorsey .
The authorized official title is Owner / Provider and has the following contact phone number (503) 707-1950.

The CLIA number assigned to this NPI record is 38D2210227 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 7/30/2024.

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 Health201406327NP-PPOREGONYes

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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