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

Mindful Awakenings, LLC

Organization Community/Behavioral Health Agency · NPI 1083154637

Mindful Awakenings, LLC is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
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

4511 SE Hawthorne Blvd Ste 204
Portland, OR 97215-3182
Phone: (503) 706-8413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 5355 (OR)

Record details

NPI number1083154637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryann Moore — Manager/Owner · (503) 706-8413
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017
Mailing address4324 Ne 57th Ave, Portland, OR 97218-2241

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