INNER DOMAIN HOLISTIC HEALTH, LLC
NPI 1720965908
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
NPI Status: Active since August 19, 2025
Contact Information
2700 SE 26TH AVE STE D
PORTLAND, OR
ZIP 97202
Phone: (503) 974-4624
Fax: (503) 388-3977
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
About INNER DOMAIN HOLISTIC HEALTH, LLC
This page provides the complete NPI Profile along with additional information for Inner Domain Holistic Health, Llc, a provider established in Portland, Oregon operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1720965908 assigned on August 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Allison Fox Pmhnp, Fnp (Owner)
- NPI
- 1720965908
- Provider Name
- INNER DOMAIN HOLISTIC HEALTH, LLC
- Entity Type
- Organization
- Location Address
- 2700 SE 26TH AVE STE D PORTLAND, OR 97202
- Location Phone
- (503) 974-4624
- Location Fax
- (503) 388-3977
- Mailing Address
- 4110 SE HAWTHORNE BLVD # 217 PORTLAND, OR 97214
- Mailing Phone
- (503) 495-3332
- Mailing Fax
- (503) 388-3977
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2025
- Last Update Date
- 01-27-2026
- Code Navigator
A nurse practitioner (NP) like Inner Domain Holistic Health, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 6700 SW 105th Ave Ste 211
Beaverton, OR 97008
(503) 974-4624
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720965908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720965908, enumerated as an "organization" on August 19, 2025.
The provider is located at 2700 SE 26TH AVE STE D PORTLAND, OR 97202 and the phone number is (503) 974-4624.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
