WHOLE LIFE VITALITY
NPI 1316236847
Clinic/Center - Multi-Specialty in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since April 05, 2011

3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214(503) 208-4546(503) 715-5789 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Whole Life Vitality NPPES

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

WHOLE LIFE VITALITY (NPI 1316236847) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since April 2011. The organization lists Gibran Kekoa Ramos, Owner, as its authorized official.

NPPES Registry Identity

NPI1316236847

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameWHOLE LIFE VITALITY

Location Address3942 SE HAWTHORNE BLVDPortland, OR 97214-5242

Mailing Address4110 Se Hawthorne Blvd # 178Portland, OR 97214-5246 · (503) 482-9092 · Fax (503) 715-5789

Phone(503) 208-4546

Fax(503) 715-5789

Organization SubpartNo

Authorized OfficialGibran Kekoa RamosOwner · (503) 482-9092

Enumeration DateApril 5, 2011

Last NPPES UpdateMay 23, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1316236847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/CenterTaxonomy 261Q00000X · License 63999099 (OR)

3942 SE HAWTHORNE BLVD, Portland, OR 97214

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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 ›