Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Inner Domain Holistic Health, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1720965908

Inner Domain Holistic Health, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2700 SE 26th Ave Ste D
Portland, OR 97202-1288
Phone: (503) 974-4624
Fax: (503) 388-3977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6700 Sw 105th Ave Ste 211, Beaverton, OR 97008-8824 — (503) 974-4624

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1720965908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Fox — Owner · (503) 495-3332
NPI enumeratedAugust 19, 2025
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address4110 Se Hawthorne Blvd # 217, Portland, OR 97214-5246

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