TENACIOUS RESILIENCE MENTAL WELLNESS, LLC
NPI 1194689786
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since December 10, 2025

6214 SE MILWAUKIE AVE, PORTLAND, OR 97202(503) 389-5366(866) 635-1779 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tenacious Resilience Mental Wellness, Llc NPPES

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

TENACIOUS RESILIENCE MENTAL WELLNESS, LLC (NPI 1194689786) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Portland and lists Timothy J Lafolette, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1194689786

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameTENACIOUS RESILIENCE MENTAL WELLNESS, LLC

Location Address6214 SE MILWAUKIE AVEPortland, OR 97202-5417

Mailing AddressPo Box 66722Portland, OR 97290-6722 · (503) 389-5366

Phone(503) 389-5366

Fax(866) 635-1779

Organization SubpartNo

Authorized OfficialTimothy J LafoletteOwner/ceo · (503) 389-5366

Enumeration DateDecember 10, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1194689786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

6214 SE MILWAUKIE AVE, Portland, OR 97202

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Secondary Practice Location 1

Location 16309 SE 86th AvePortland, OR 97266-5464 · Phone (503) 389-5366 · Fax (866) 635-1779

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP