RED CLOVER WELLNESS – NPI #1861033573
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

RED CLOVER WELLNESS is a psychiatry & neurologist located in HAPPY VALLEY, OR. NPPES has assigned the NPI number 1861033573 to RED CLOVER WELLNESS on October 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 2 years ago on Jan 16, 2024. 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 RED CLOVER WELLNESS below.

NPI Profile for
RED CLOVER WELLNESS

NPI Number
1861033573
Enumeration Date

(more than 6 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
RED CLOVER WELLNESS
Primary location
12525 SE CREST WAY
HAPPY VALLEY, OR 97086
Phone: (503) 683-3627 Fax:
Mailing address
12042 SE SUNNYSIDE RD # 511
CLACKAMAS, OR 97015-8382
Phone: (503) 683-3627 Fax:
Organization Subpart
No
Authorized Official
KATHERINE REIS
OWNER
Phone: (503) 683-3627
Updated
Certification Date
Jan 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
Affiliation
N
Endpoint Location
7175 SW BEVELAND RD STE 105,
TIGARD, OR 77025-1669