WELLSPRING
NPI 1912046202
Clinic/Center - Multi-Specialty in Portland, OR

Q: What is Wellspring's NPI number?

The NPI number for Wellspring is 1912046202. It was assigned to this organization in the NPPES registry on February 5, 2007.

Q: What is Wellspring's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Wellspring was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 05, 2007

2034 SE 6TH AVE, PORTLAND, OR 97214(503) 238-6801(503) 238-6810 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellspring NPPES

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

WELLSPRING (NPI 1912046202) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since February 2007. The organization lists Debra Humphrey-keever, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912046202

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameWELLSPRING

Location Address2034 SE 6TH AVEPortland, OR 97214-4510

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 552-6211

Phone(503) 238-6801

Fax(503) 238-6810

Organization SubpartNo

Authorized OfficialDebra Humphrey-keeverCfo · (503) 963-7786

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912046202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

2034 SE 6TH AVE, Portland, OR 97214

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Other Identifiers 2

Medicaid226398OR

Medicaid223347OR

Other Providers at the Same Location NPPES 2

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

MR. TYRONE WAYNE WATERS PEER ADVOCATE LEAD

Counselor (Mental Health)

2034 SE 6TH AVE
PORTLAND, OR 97214

Multnomah County (503) 238-6801

LISA ANN DAVIS QMHP

Counselor (Mental Health)

2034 SE 6TH AVE
PORTLAND, OR 97214

Multnomah County (503) 238-6801

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 Wellspring's NPI number?

The NPI number for Wellspring is 1912046202. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Wellspring located?

Wellspring is located at 2034 SE 6th Ave, Portland, OR 97214. The listed phone number is (503) 238-6801.

What is Wellspring's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Wellspring was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.