KIM'S WELLNESS CENTER – NPI #1548633399
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

KIM'S WELLNESS CENTER is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1548633399 to KIM'S WELLNESS CENTER on November 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 9 years ago on Jan 25, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIM'S WELLNESS CENTER below.

NPI Profile for
KIM'S WELLNESS CENTER

NPI Number
1548633399
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIM'S WELLNESS CENTER
Primary location
917 SW OAK ST
PORTLAND, OR 97205
Phone: (917) 456-6385 Fax: (844) 401-8624
Mailing address
1011 NE HANCOCK ST
PORTLAND, OR 97212
Phone: (917) 456-6385 Fax: (844) 401-8624
Organization Subpart
No
Authorized Official
KIMBERLY BOLDRINI-SENN
OWNER
Phone: (917) 456-6385
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 OR 165166

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.