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MINDFUL AWAKENINGS, LLC
NPI 1083154637
Community/Behavioral Health in Portland, OR

Active since March 01, 2017
4511 SE HAWTHORNE BLVD, SUITE 204, PORTLAND, OR 97215(503) 706-8413 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindful Awakenings, Llc NPPES

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

MINDFUL AWAKENINGS, LLC (NPI 1083154637) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since March 2017. The organization lists Ryann Mishell Moore, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1083154637
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINDFUL AWAKENINGS, LLC
Location Address4511 SE HAWTHORNE BLVD, SUITE 204Portland, OR 97215-3182
Mailing Address4324 Ne 57th AvePortland, OR 97218-2241 · (912) 381-5898
Phone(503) 706-8413
Organization SubpartNo
Authorized OfficialRyann Mishell MooreManager/owner · (503) 706-8413
Enumeration DateMarch 1, 2017
✔ NPI 1083154637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · 5355
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4511 SE HAWTHORNE BLVD, Portland, OR 97215
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Other Providers at the Same Location NPPES 14

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

MARY ANNE STOWELL LCSW, PC
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, STE 114
PORTLAND, OR 97215
Multnomah County (503) 408-1759
MR. CHARLES LEROY WILK L.AC.
Acupuncturist
4511 SE HAWTHORNE BLVD, SUITE 214
PORTLAND, OR 97215
Multnomah County (503) 241-0042
MS. MARILYN REEDY POOL LCSW
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, SUITE 114
PORTLAND, OR 97215
Multnomah County (503) 232-6868
LAUREN DEISENROTH PMHNP-BC LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4511 SE HAWTHORNE BLVD, SUITE 215
PORTLAND, OR 97215
Multnomah County (503) 224-6446
MARY ANNE STOWELL LCSW, PC
Social Worker (Clinical)
4511 SE HAWTHORNE BLVD, SUITE 114
PORTLAND, OR 97215
Multnomah County (503) 232-6868
DR. JONNA E. HONGO
Clinic/Center
4511 SE HAWTHORNE BLVD, SUITE 110
PORTLAND, OR 97215
Multnomah County (503) 235-4564
MRS. BRIDGET GOLD REGO L.M.T.
Massage Therapist
4511 SE HAWTHORNE BLVD, SUITE 108
PORTLAND, OR 97215
Multnomah County (503) 869-5105
DR. KUHN R. MARSHALL DMD
Dentist (General Practice)
4511 SE HAWTHORNE BLVD, SUITE 101
PORTLAND, OR 97215
Multnomah County (503) 231-8228

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 Mindful Awakenings, LLC's NPI number?

The NPI number for Mindful Awakenings, LLC is 1083154637. It was assigned to this organization in the NPPES registry on March 1, 2017.

Where is Mindful Awakenings, LLC located?

Mindful Awakenings, LLC is located at 4511 SE Hawthorne Blvd Suite 204, Portland, OR 97215. The listed phone number is (503) 706-8413.

What is Mindful Awakenings, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mindful Awakenings, LLC was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.