Wild Hearts Wellness Llc

Specialty details in registry · Portland, OR

Call (971) 400-6063 Directions

At a glance

4423 Ne Tillamook St, Portland, OR 97213-1317

NPPES record updated Dec 22, 2016. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4423 Ne Tillamook St
Portland, OR 97213-1317
Professional details: NPI, taxonomy & registry record
NPI1063957330
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
171100000X
Enumeration date
Dec 22, 2016
Record updated
Dec 22, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

171100000X · Primary

License reported: AC153455 OR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4423 Ne Tillamook St
Portland, OR 97213-1317
Phone
(971) 400-6063
Mailing address
4114 NE 74TH AVE

PORTLAND, OR 972183633
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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