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EDEN WELLNESS CENTER CORPORATION LLC
NPI 1487430971
Community/Behavioral Health in Tigard, OR

Active since August 31, 2023
6975 SW SANDBURG ST, TIGARD, OR 97223(480) 938-6189 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eden Wellness Center Corporation Llc NPPES

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

EDEN WELLNESS CENTER CORPORATION LLC (NPI 1487430971) is a healthcare organization registered as a community/behavioral health in Tigard, Oregon and active in the NPI registry since August 2023. The organization lists Ntare Serge Sandrali, Partner, as its authorized official.

NPPES Registry Identity

NPI1487430971
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEDEN WELLNESS CENTER CORPORATION LLC
Location Address6975 SW SANDBURG STTigard, OR 97223-8073
Mailing Address6975 Sw Sandburg StTigard, OR 97223-8073
Phone(480) 938-6189
Organization SubpartNo
Authorized OfficialNtare Serge SandraliPartner · (480) 938-6189
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1487430971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6975 SW SANDBURG ST, Tigard, OR 97223
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. POLLY ANN FISHER PSY.D.
Psychologist (Clinical)
6975 SW SANDBURG ST, SUITE 340
TIGARD, OR 97223
Washington County (503) 684-6205
AIMEE FRAZIER MA, LPC INTERN
Counselor (Mental Health)
6975 SW SANDBURG ST
TIGARD, OR 97223
Washington County (503) 483-6173
DR. EDWARD BRUCE VERSTEEG PSY.D.
Psychologist (Clinical)
6975 SW SANDBURG ST, SUITE 340
TIGARD, OR 97223
Washington County (503) 684-6205
MR. LEONARD JENSEN FNP
Nurse Practitioner (Family)
6975 SW SANDBURG ST, SUITE #190
PORTLAND, OR 97223
Washington County (503) 639-0600
KAITLIN BARBER
Counselor (Professional)
6975 SW SANDBURG ST
PORTLAND, OR 97223
Washington County (814) 243-0414
SERENITY HOUSE CALL
Nurse Practitioner (Primary Care)
6975 SW SANDBURG ST, SUITE #190
PORTLAND, OR 97223
Washington County (503) 639-3322

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 Eden Wellness Center Corporation LLC's NPI number?

The NPI number for Eden Wellness Center Corporation LLC is 1487430971. It was assigned to this organization in the NPPES registry on August 31, 2023.

Where is Eden Wellness Center Corporation LLC located?

Eden Wellness Center Corporation LLC is located at 6975 SW Sandburg St, Tigard, OR 97223. The listed phone number is (480) 938-6189.

What is Eden Wellness Center Corporation LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eden Wellness Center Corporation LLC was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.