Organization · Type 2 NPI

Whole Life Vitality

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1316236847 Active

Practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Call (503) 208-4546 Map

Fax (503) 715-5789

Mailing address

4110 SE Hawthorne Blvd # 178
Portland, OR 97214-5246

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000X63999099 (OR)
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1316236847

Whole Life Vitality's National Provider Identifier is 1316236847, issued on Apr 5, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on May 23, 2025.