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

Wild Earth Wellness

Organization Health Service Clinic/Center · NPI 1285159251

Wild Earth Wellness is a Health Service Clinic/Center in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

24850 SE Stark St Ste 200
Gresham, OR 97030-8320
Phone: (503) 310-2622
Show map & directions

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

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 7615 (OR)

Record details

NPI number1285159251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Boom — Owner · (503) 310-2622
NPI enumeratedAugust 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address24850 Se Stark St Ste 200, Gresham, OR 97030-8320

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