WILD HEARTS PDX
NPI 1265253082
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Q: What is Wild Hearts Pdx's NPI number?

The NPI number for Wild Hearts Pdx is 1265253082. It was assigned to this organization in the NPPES registry on October 23, 2024.

Q: What is Wild Hearts Pdx's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Wild Hearts Pdx was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 23, 2024

4531 SE BELMONT ST STE 119, PORTLAND, OR 97215(503) 887-6255 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wild Hearts Pdx NPPES

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

WILD HEARTS PDX (NPI 1265253082) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since October 2024. The organization lists Shanako Devoll, President, as its authorized official.

NPPES Registry Identity

NPI1265253082

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWILD HEARTS PDX

Location Address4531 SE BELMONT ST STE 119Portland, OR 97215-1675

Mailing Address4531 Se Belmont St Ste 119Portland, OR 97215-1675 · (503) 887-6255

Phone(503) 887-6255

Organization SubpartNo

Authorized OfficialShanako DevollPresident · (503) 887-6255

Enumeration DateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1265253082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

4531 SE BELMONT ST STE 119, Portland, OR 97215

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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 Wild Hearts Pdx's NPI number?

The NPI number for Wild Hearts Pdx is 1265253082. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Wild Hearts Pdx located?

Wild Hearts Pdx is located at 4531 SE Belmont St Ste 119, Portland, OR 97215. The listed phone number is (503) 887-6255.

What is Wild Hearts Pdx's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wild Hearts Pdx was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.