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SERENITY WELLNESS CLINIC LLC
NPI 1205459880
Clinic/Center - Health Service in Tigard, OR

Active since May 18, 2020
12570 SW 69TH AVE STE 101, TIGARD, OR 97223(503) 987-3622(503) 987-3022 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, May 18, 2020 (2 updates tracked since 2020).

About Serenity Wellness Clinic Llc NPPES

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

SERENITY WELLNESS CLINIC LLC (NPI 1205459880) is a healthcare organization registered as a health service in Tigard, Oregon and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Scappoose and lists Bijana Devo Kadakia, Owner, as its authorized official.

NPPES Registry Identity

NPI1205459880
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSERENITY WELLNESS CLINIC LLC
Location Address12570 SW 69TH AVE STE 101Tigard, OR 97223-2552
Mailing AddressPo Box 230095Tigard, OR 97281-0095 · (503) 987-3622 · Fax (503) 987-3022
Phone(503) 987-3622
Fax(503) 987-3022
Organization SubpartNo
Authorized OfficialBijana Devo KadakiaOwner · (503) 987-3622
Enumeration DateMay 18, 2020
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1205459880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
12570 SW 69TH AVE STE 101, Tigard, OR 97223
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Secondary Practice Location 1

Location 151669 Columbia River Hwy Ste 130Scappoose, OR 97056-4508 · Phone (503) 680-8770 · Fax (503) 691-0901

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. GWENDOLYN ANNE ROGERS N.D, LAC
Naturopath
12570 SW 69TH AVE STE 101
TIGARD, OR 97223
Washington County (503) 673-1630
DR. BIJANA DEVO KADAKIA ND, LAC
Naturopath
12570 SW 69TH AVE STE 101
TIGARD, OR 97223
Washington County (503) 987-3622
FOUNDATIONS FOR HEALTH, LLC
Clinic/Center
12570 SW 69TH AVE STE 101
TIGARD, OR 97223
Washington County (503) 673-1630

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 Serenity Wellness Clinic LLC's NPI number?

The NPI number for Serenity Wellness Clinic LLC is 1205459880. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Serenity Wellness Clinic LLC located?

Serenity Wellness Clinic LLC is located at 12570 SW 69th Ave Ste 101, Tigard, OR 97223. The listed phone number is (503) 987-3622.

What is Serenity Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Serenity Wellness Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Serenity Wellness Clinic 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 Serenity Wellness Clinic LLC was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.