WILDFLOWER COUNSELING LLC NPI 1487592556

NPI Information

  • NPI: 1487592556
  • Provider Name: WILDFLOWER COUNSELING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 917 SW OAK ST STE 417
    PORTLAND, OR
    ZIP 97205
  • Phone: (971) 385-4702

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NPI Details

WILDFLOWER COUNSELING LLC is a mental health (including community mental health center) clinic center in Portland, OR. WILDFLOWER COUNSELING LLC NPI is 1487592556. The provider is registered as an organization entity type.

The provider's business location address is:

917 SW OAK ST STE 417
PORTLAND, OR
ZIP 97205-807
Phone: (971) 385-4702
Fax: (971) 328-4653

The provider's authorized official is Willa Bean Jutzi Shaw .
The authorized official title is Manager and has the following contact phone number (971) 385-4702.

The enumeration date for this NPI number is 3/23/2026 and was last updated on 3/23/2026.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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