Organization · Type 2 NPI
Soft Moon Wellness
Mental Health Counselor · Portland, OR
NPI number
1639085103
Active
Practice location
4768 SE 52nd Ave
Portland, OR 97206-4925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639085103
Soft Moon Wellness's National Provider Identifier is 1639085103, issued on Aug 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 24, 2026.