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INNER DOMAIN HOLISTIC HEALTH, LLC
NPI 1720965908
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 19, 2025
2700 SE 26TH AVE STE D, PORTLAND, OR 97202(503) 974-4624(503) 388-3977 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Inner Domain Holistic Health, Llc NPPES

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

INNER DOMAIN HOLISTIC HEALTH, LLC (NPI 1720965908) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since August 2025. The organization maintains a secondary practice location in Beaverton and lists Allison Fox, Owner, as its authorized official.

NPPES Registry Identity

NPI1720965908
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINNER DOMAIN HOLISTIC HEALTH, LLC
Location Address2700 SE 26TH AVE STE DPortland, OR 97202-1288
Mailing Address4110 Se Hawthorne Blvd # 217Portland, OR 97214-5246 · (503) 495-3332 · Fax (503) 388-3977
Phone(503) 974-4624
Fax(503) 388-3977
Organization SubpartNo
Authorized OfficialAllison FoxOwner · (503) 495-3332
Enumeration DateAugust 19, 2025
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1720965908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2700 SE 26TH AVE STE D, Portland, OR 97202
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Secondary Practice Location 1

Location 16700 SW 105th Ave Ste 211Beaverton, OR 97008-8824 · Phone (503) 974-4624 · Fax (503) 388-3977

Other Providers at the Same Location NPPES 3

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

REBECCA X CASANOVA LCSW, MPH
Social Worker (Clinical)
2700 SE 26TH AVE STE D
PORTLAND, OR 97202
Multnomah County (971) 378-9436
MS. ALLISON LOUISE FOX FNP
Nurse Practitioner
2700 SE 26TH AVE STE D
PORTLAND, OR 97202
Multnomah County (503) 495-3332
SARAH HART LPC
Counselor (Professional)
2700 SE 26TH AVE STE D
PORTLAND, OR 97202
Multnomah County (503) 967-9767

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 Inner Domain Holistic Health, LLC's NPI number?

The NPI number for Inner Domain Holistic Health, LLC is 1720965908. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Inner Domain Holistic Health, LLC located?

Inner Domain Holistic Health, LLC is located at 2700 SE 26th Ave Ste D, Portland, OR 97202. The listed phone number is (503) 974-4624.

What is Inner Domain Holistic Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Inner Domain Holistic Health, LLC was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.