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POSITIVE INNER SELF LLC NPI 1912577305


NPI Information

NPI: 1912577305
Provider Name: POSITIVE INNER SELF, LLC

Doing Business As: MIND & BODY WELLNESS CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6700 SW 105TH AVE STE 215
BEAVERTON, OR
ZIP 97008
Phone: (971) 233-6052
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POSITIVE INNER SELF, LLC is a multi-specialty clinic center in Beaverton, OR. POSITIVE INNER SELF, LLC NPI is 1912577305. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind & Body Wellness Center.

The provider's business location address is:

6700 SW 105TH AVE STE 215
BEAVERTON, OR
ZIP 97008-824
Phone: (971) 233-6052
Fax: (971) 277-7291

The provider's authorized official is Adrienne Buhacoff .
The authorized official title is Owner/clinic Director and has the following contact phone number (971) 233-6052.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 2/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5111N00000XChiropractorNo
6171400000XHealth and Wellness CoachNo
7175F00000XNaturopathNo
8171100000XAcupuncturistNo
9225700000XMassage TherapistNo
10261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500794949MEDICAIDOREGON

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.