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NORTHWEST VITALITY GROUP
NPI 1033853783
Clinic/Center in Portland, OR

Active since April 27, 2022
9233 SW 52ND AVE, PORTLAND, OR 97219(503) 757-8535(971) 223-0949 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Vitality Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST VITALITY GROUP (NPI 1033853783) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since April 2022. The organization lists Holly Anne Fay, Owner/provider/cmo, as its authorized official.

NPPES Registry Identity

NPI1033853783
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHWEST VITALITY GROUP
Location Address9233 SW 52ND AVEPortland, OR 97219-5003
Mailing Address3 Monrow Pkwy, Ste P #714Lake Oswego, OR 97035 · (503) 477-5084
Phone(503) 757-8535
Fax(971) 223-0949
Organization SubpartNo
Authorized OfficialHolly Anne FayOwner/provider/cmo · (503) 757-8535
Enumeration DateApril 27, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1033853783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9233 SW 52ND AVE, Portland, OR 97219
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Other Names 1

Doing Business AsNorthwest Vitality Group

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Vitality Group's NPI number?

The NPI number for Northwest Vitality Group is 1033853783. It was assigned to this organization in the NPPES registry on April 27, 2022.

Where is Northwest Vitality Group located?

Northwest Vitality Group is located at 9233 SW 52nd Ave, Portland, OR 97219. The listed phone number is (503) 757-8535.

What is Northwest Vitality Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Northwest Vitality Group was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.