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

Wild Remembrance LLC

Organization Clinical Social Worker · NPI 1023690765

Wild Remembrance LLC is a Clinical Social Worker in White Salmon, Washington. Registered with an NPI since 2021.

In the registry since
2021
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

23 Wnuk Rd
White Salmon, WA 98672-8428
Phone: (503) 705-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1023690765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Hummer — Owner · (503) 705-5241
Other names Wild Awaken Therapy
NPI enumeratedApril 22, 2021
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021
Mailing address23 Wnuk Rd, White Salmon, WA 98672-8428

Other providers in White Salmon