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

Selah Wellness Clinic LLC

Organization Family Medicine Physician · NPI 1649139171

Selah Wellness Clinic LLC is a Family Medicine Physician in Mora, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

905 Forest Ave E Ste 150
Mora, MN 55051-1632
Phone: (320) 372-2323
Fax: (833) 651-2526
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1649139171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Keller — Vp Compliance · (320) 372-2323
NPI enumeratedJanuary 20, 2026
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026
Mailing address501 Main St, Sandstone, MN 55072-4410

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