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POSITIVE INNER SELF, LLC
NPI 1912577305
Clinic/Center - Multi-Specialty in Beaverton, OR

Active since June 28, 2021CLIA 38D2340463 · Waiver
6700 SW 105TH AVE STE 215, BEAVERTON, OR 97008(971) 233-6052(971) 277-7291 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Sep 2, 2025, Jan 8, 2025 and 4 more (7 updates tracked since 2021).

About Positive Inner Self, Llc NPPES

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

POSITIVE INNER SELF, LLC (NPI 1912577305), doing business as Mind & Body Wellness Center, is a healthcare organization registered as a multi-specialty in Beaverton, Oregon and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Jennifer Willlis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912577305
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePOSITIVE INNER SELF, LLC
Location Address6700 SW 105TH AVE STE 215Beaverton, OR 97008-8824
Mailing Address6700 Sw 105th Ave Ste 215Beaverton, OR 97008-8824 · (503) 461-3910 · Fax (971) 277-7291
Phone(971) 233-6052
Fax(971) 277-7291
Organization SubpartNo
Authorized OfficialJennifer WilllisOffice Manager · (503) 461-3910
Enumeration DateJune 28, 2021
Last NPPES UpdateDecember 29, 20257 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1912577305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedNaturopathTaxonomy 175F00000X
Also ListedMassage TherapistTaxonomy 225700000X
6700 SW 105TH AVE STE 215, Beaverton, OR 97008
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Other Names 1

Doing Business AsMind & Body Wellness Center

Other Identifiers 1

Medicaid500794949OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2340463

Positive Inner Self LLC · Beaverton, OR
Active · expires Mar 16, 2028
CLIA Number38D2340463
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorVileka F. Fisher
Laboratory Phone(503) 461-3910
Laboratory LocationPositive Inner Self LLC6700 SW 105th Ave, Beaverton, OR 97008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. VILEKA FISHER ND
Naturopath
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (503) 468-4791
MCKENZIE HAENKE LCSW
Social Worker (Clinical)
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (503) 461-3910
JEGO MIGUEL LIM ALFONSO LMT
Massage Therapist
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (503) 461-3910
ANNA FRAZIER
Social Worker
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (971) 233-6052
REBECCA SAUNDERS
Social Worker (Clinical)
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (503) 461-3910
MARIE ANNE DANIELS QMHP-R
Counselor (Mental Health)
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (971) 399-0882
ERIN LYNN SHIMP LMT
Massage Therapist
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (971) 399-0415
ADRIENNE BUHACOFF MSW, LCSW
Social Worker (Clinical)
6700 SW 105TH AVE STE 215
BEAVERTON, OR 97008
Washington County (971) 233-6052

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 Positive Inner Self, LLC's NPI number?

The NPI number for Positive Inner Self, LLC is 1912577305. It was assigned to this organization in the NPPES registry on June 28, 2021. The provider is doing business as Mind & Body Wellness Center.

Where is Positive Inner Self, LLC located?

Positive Inner Self, LLC is located at 6700 SW 105th Ave Ste 215, Beaverton, OR 97008. The listed phone number is (971) 233-6052.

What is Positive Inner Self, LLC's specialty?

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

Does Positive Inner Self, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2340463) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Positive Inner Self, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Positive Inner Self, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Positive Inner Self, LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.