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

Positive Inner Self, LLC

Organization Mental Health Counselor · NPI 1912577305

Positive Inner Self, LLC is a Mental Health Counselor in Beaverton, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
11
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

6700 SW 105th Ave Ste 215
Beaverton, OR 97008-8824
Phone: (971) 233-6052
Fax: (971) 277-7291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Chiropractor Taxonomy 111N00000X
Acupuncturist Taxonomy 171100000X
Health & Wellness Coach Taxonomy 171400000X
Naturopath Taxonomy 175F00000X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1912577305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Willlis — Office Manager · (503) 461-3910
Other names Mind & Body Wellness Center
NPI enumeratedJune 28, 2021
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address6700 Sw 105th Ave Ste 215, Beaverton, OR 97008-8824

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