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TRANSFORMATIONAL HEALING: REDISCOVER YOURSELF LLC
NPI 1255204129
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 26, 2025
555 SE MARTIN LUTHER KING JR BLVD UNIT 105, PORTLAND, OR 97214(971) 266-0177(855) 631-0578 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Transformational Healing: Rediscover Yourself Llc NPPES

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

TRANSFORMATIONAL HEALING: REDISCOVER YOURSELF LLC (NPI 1255204129) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since September 2025. The organization lists Kristen Fernandez-kong, Owner, as its authorized official.

NPPES Registry Identity

NPI1255204129
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTRANSFORMATIONAL HEALING: REDISCOVER YOURSELF LLC
Location Address555 SE MARTIN LUTHER KING JR BLVD UNIT 105Portland, OR 97214-2595
Mailing Address555 Se Martin Luther King Jr Blvd Unit 105Portland, OR 97214-2595 · (971) 266-0177 · Fax (855) 631-0578
Phone(971) 266-0177
Fax(855) 631-0578
Organization SubpartNo
Authorized OfficialKristen Fernandez-kongOwner · (808) 388-6277
Enumeration DateSeptember 26, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1255204129 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
555 SE MARTIN LUTHER KING JR BLVD UNIT 105, Portland, OR 97214
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Other Identifiers 1

Medicaid500745543OR

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

Other Providers at the Same Location NPPES 2

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

COLIN BRYCE CASHMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
555 SE MARTIN LUTHER KING JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (503) 664-9451
SALIM ELHALABY NP
Nurse Practitioner
555 SE MARTIN LUTHER KING JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (503) 664-9451

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 Transformational Healing: Rediscover Yourself LLC's NPI number?

The NPI number for Transformational Healing: Rediscover Yourself LLC is 1255204129. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is Transformational Healing: Rediscover Yourself LLC located?

Transformational Healing: Rediscover Yourself LLC is located at 555 SE Martin Luther King Jr Blvd Unit 105, Portland, OR 97214. The listed phone number is (971) 266-0177.

What is Transformational Healing: Rediscover Yourself LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Transformational Healing: Rediscover Yourself LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.