MINDBLOOM WELLNESS LLC
NPI 1366340622
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR
About Mindbloom Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDBLOOM WELLNESS LLC (NPI 1366340622) is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since October 2026. The organization lists Lielty Geberemariam, Manger, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mindbloom Wellness LLC's NPI number?
The NPI number for Mindbloom Wellness LLC is 1366340622. It was assigned to this organization in the NPPES registry on October 27, 2026.
Where is Mindbloom Wellness LLC located?
Mindbloom Wellness LLC is located at 13050 SW Barlow Rd, Beaverton, OR 97008. The listed phone number is (714) 482-7922.
What is Mindbloom Wellness LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Mindbloom Wellness LLC was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Mindbloom Wellness Llc · NPI 1366340622
Community Based Residential Treatment Facility, Mental Illness organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since October 27, 2026.
## Identity
- **NPI:** 1366340622 (Entity type: Organization)
- **Enumerated:** October 27, 2026
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Lielty Geberemariam, MANGER
## Practice location
- **Address:** 13050 SW BARLOW RD, Beaverton, OR 97008-5633
- **Phone:** (714) 482-7922
## Record status
- **NPPES last updated:** October 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366340622) · Data from the CMS NPPES public registry.