IMAGINATIVE HEALING COLLECTIVE NPI 1609731835

NPI Information

  • NPI: 1609731835
  • Provider Name: IMAGINATIVE HEALING COLLECTIVE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 28925 SW BOBERG RD
    WILSONVILLE, OR
    ZIP 97070
  • Phone: (503) 939-9447

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NPI Details

IMAGINATIVE HEALING COLLECTIVE is a mental health (including community mental health center) clinic center in Wilsonville, OR. IMAGINATIVE HEALING COLLECTIVE NPI is 1609731835. The provider is registered as an organization entity type.

The provider's business location address is:

28925 SW BOBERG RD
WILSONVILLE, OR
ZIP 97070-218
Phone: (503) 939-9447

The provider's authorized official is Carmen Ryan .
The authorized official title is Owner/counselor and has the following contact phone number (503) 939-9447.

The enumeration date for this NPI number is 12/19/2025 and was last updated on 12/19/2025.

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
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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