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SHANTI RECOVERY & WELLNESS
NPI 1073978284
Family Medicine - Addiction Medicine in Portland, OR

Active since December 15, 2015CLIA 38D2072513 · Waiver
3769 SE MILWAUKIE AVE, PORTLAND, OR 97202(503) 206-8850 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanti Recovery & Wellness NPPES

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

SHANTI RECOVERY & WELLNESS (NPI 1073978284) is a healthcare organization registered as an addiction medicine in Portland, Oregon and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Robbie Bahl, Medical Director & Owner, as its authorized official.

NPPES Registry Identity

NPI1073978284
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameROBBIE BAHL, MD LLC
Location Address3769 SE MILWAUKIE AVEPortland, OR 97202-3804
Mailing Address3769 Se Milwaukie AvePortland, OR 97202-3804
Phone(503) 206-8850
Organization SubpartNo
Authorized OfficialRobbie BahlMedical Director & Owner · (503) 206-8850
Enumeration DateDecember 15, 2015
✔ NPI 1073978284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OR · MD164885
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
3769 SE MILWAUKIE AVE, Portland, OR 97202
Open in Google Maps ↗

Other Names 1

Doing Business AsShanti Recovery & Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2072513

Shanti Recovery And Wellness · Portland, OR
Active · expires Jan 30, 2028
CLIA Number38D2072513
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRobbie Bahl MD
Laboratory Phone(503) 235-2120
Laboratory LocationShanti Recovery And Wellness3769 SE Milwaukie Ave, Portland, OR 97202
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY KATE MCCARTY LAC.
Acupuncturist
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (503) 724-2606
AUGUSTA BIRKINS SWIFT N.D.
Naturopath
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (503) 239-6698
ROBERTO HERNANDEZ APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (305) 497-0272
MS. BROOKE KREITNER FITZGERALD FNP
Nurse Practitioner (Family)
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (503) 206-8850
MARLANE BASSETT ND INC.
Naturopath
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (503) 235-2120
ROBBIE BAHL MD
Family Medicine (Addiction Medicine)
3769 SE MILWAUKIE AVE
PORTLAND, OR 97202
Multnomah County (503) 206-8850

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 Robbie Bahl, MD LLC's NPI number?

The NPI number for Robbie Bahl, MD LLC is 1073978284. It was assigned to this organization in the NPPES registry on December 15, 2015. The provider is doing business as Shanti Recovery & Wellness.

Where is Robbie Bahl, MD LLC located?

Robbie Bahl, MD LLC is located at 3769 SE Milwaukie Ave, Portland, OR 97202. The listed phone number is (503) 206-8850.

What is Robbie Bahl, MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Robbie Bahl, MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2072513) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robbie Bahl, MD LLC accept?

Health plans from Moda Health Plan, Inc. list Robbie Bahl, MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robbie Bahl, MD LLC was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.