WILD EARTH WELLNESS
NPI 1285159251
Clinic/Center - Health Service in Gresham, OR
NPI Status: Active since August 10, 2017
Contact Information
24850 SE STARK ST STE 200
GRESHAM, OR
ZIP 97030
Phone: (503) 310-2622
- Organization
- Clinic/Center
- Health Service
About WILD EARTH WELLNESS
This page provides the complete NPI Profile along with additional information for Wild Earth Wellness, a provider established in Gresham, Oregon operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1285159251 assigned on August 2017. The practitioner's primary taxonomy code is 261QH0100X with license number 7615 (OR). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Jennifer Marie Boom Lmt (Owner)
- NPI
- 1285159251
- Provider Name
- WILD EARTH WELLNESS
- Entity Type
- Organization
- Location Address
- 24850 SE STARK ST STE 200 GRESHAM, OR 97030
- Location Phone
- (503) 310-2622
- Mailing Address
- 24850 SE STARK ST STE 200 GRESHAM, OR 97030
- Mailing Phone
- (503) 310-2622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7615
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164547634 | OTHER (01) | NPI |
Reviews for WILD EARTH WELLNESS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 1 | 5 | 9 | 2 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 2 | 5 | 18 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 2 + 5 + 1 + 8 + 2 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1285159251 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629219613 | LORITA ELAINE JOHNSON LMT Individual | Mechanotherapist | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (971) 285-2905 |
| 1770809303 | AUDRA RACHELLE NORRIS-JACOB MD Individual | Obstetrics & Gynecology | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1982041703 | MS. KIRSTEN GWYNN CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1558777342 | BRITTA AMEEL Individual | Obstetrics & Gynecology | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1326499666 | JULIE SHIPRACK CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1811692817 | FAITH SAMAAN Individual | Lactation Consultant, Non-RN | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 317-5036 |
| 1992039309 | MS. MONICA ELIZABETH VENN D.O. Individual | Obstetrics & Gynecology | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1134813405 | SHANNON THURSTON CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1124851811 | JESSICA ANNE HARGADINE Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1336403468 | JULIA MADELEINE CURREN CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 941-9444 |
| 1306424361 | ALINNE G COLIN VALENZUELA CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
| 1457326662 | KORI DANIELLE PIENOVI CNM Individual | Advanced Practice Midwife | 24850 SE STARK ST STE 200 GRESHAM, OR 97030 (503) 491-9444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285159251, enumerated in the NPI registry as an "organization" on August 10, 2017
The provider is located at 24850 Se Stark St Ste 200 Gresham, Or 97030 and the phone number is (503) 310-2622
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.