Whole Life Vitality
Whole Life Vitality is a Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
3942 SE Hawthorne BlvdPortland, OR 97214-5242
Phone: (503) 208-4546
Fax: (503) 715-5789
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence 63999099 (OR) |
Record details
| NPI number | 1316236847 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gibran Ramos — Owner · (503) 482-9092 |
| NPI enumerated | April 5, 2011 |
| Last updated in NPPES | May 23, 2025 |
| Certification date | May 8, 2025 |
| Mailing address | 4110 Se Hawthorne Blvd # 178, Portland, OR 97214-5246 |
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