WILD OPEN BEING, LLC
NPI 1265288542
Counselor - Professional in Portland, OR

Active since April 26, 2024
7831 SE STARK ST STE 211, PORTLAND, OR 97215(714) 609-0015 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wild Open Being, Llc NPPES

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

WILD OPEN BEING, LLC (NPI 1265288542) is a healthcare organization registered as a professional in Portland, Oregon and active in the NPI registry since April 2024. The organization lists Simone Levine, Owner, as its authorized official.

NPPES Registry Identity

NPI1265288542
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWILD OPEN BEING, LLC
Location Address7831 SE STARK ST STE 211Portland, OR 97215-2313
Mailing Address1512 Ne Holman StPortland, OR 97211-4850 · (714) 609-0015
Organization SubpartNo
Authorized OfficialSimone LevineOwner · (714) 609-0015
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1265288542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7831 SE STARK ST STE 211, Portland, OR 97215

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Reviews for WILD OPEN BEING, LLC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Marriage & Family Therapist
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Marriage & Family Therapist
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Physician Assistant
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor (Mental Health)
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor (Mental Health)
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Physician Assistant
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor
7831 SE STARK ST STE 211
PORTLAND, OR 97215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265288542, enumerated as an "organization" on April 26, 2024.

The provider is located at 7831 SE STARK ST STE 211 PORTLAND, OR 97215 and the phone number is (714) 609-0015.

Counselor with taxonomy code 101YP2500X and a focus in Professional.