Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETERNAL WELLNESS CLINIC, PLLC
NPI 1386549376
Nurse Practitioner - Family in Vancouver, WA

Q: What is Eternal Wellness Clinic, PLLC's NPI number?

The NPI number for Eternal Wellness Clinic, PLLC is 1386549376. It was assigned to this organization in the NPPES registry on October 10, 2026. The provider is doing business as Eternal Wellness Clinic.

Q: What is Eternal Wellness Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 10, 2026

5139 NE 94TH AVE STE C, VANCOUVER, WA 98662(360) 803-1555 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Eternal Wellness Clinic, Pllc NPPES

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

ETERNAL WELLNESS CLINIC, PLLC (NPI 1386549376), doing business as Eternal Wellness Clinic, is a healthcare organization registered as a family in Vancouver, Washington and active in the NPI registry since October 2026. The organization lists Gabrielle Rivera-johnson, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1386549376

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameETERNAL WELLNESS CLINIC, PLLC

Location Address5139 NE 94TH AVE STE CVancouver, WA 98662-6195

Mailing Address5139 Ne 94th Ave Ste CVancouver, WA 98662-6195 · (360) 803-1555

Phone(360) 803-1555

Organization SubpartNo

Authorized OfficialGabrielle Rivera-johnsonOwner/managing Member · (360) 803-1555

Enumeration DateOctober 10, 2026

NPPES CertifiedOctober 10, 2026

✔ NPI 1386549376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

5139 NE 94TH AVE STE C, Vancouver, WA 98662

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Other Names 1

Doing Business AsEternal Wellness Clinic

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 Eternal Wellness Clinic, PLLC's NPI number?

The NPI number for Eternal Wellness Clinic, PLLC is 1386549376. It was assigned to this organization in the NPPES registry on October 10, 2026. The provider is doing business as Eternal Wellness Clinic.

Where is Eternal Wellness Clinic, PLLC located?

Eternal Wellness Clinic, PLLC is located at 5139 NE 94th Ave Ste C, Vancouver, WA 98662. The listed phone number is (360) 803-1555.

What is Eternal Wellness Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Eternal Wellness Clinic, PLLC was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.