Whole Life Vitality

LBN: Whole Life Vitality
Whole Life Vitality is an health care organization with primary practice located at 3942 Se Hawthorne Blvd , Portland OR 97214-5242. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Whole Life Vitality can be contacted via phone (503) 208-4546, or through Ramos, Gibran Kekoa via phone (503) 482-9092.

Contact Information

Primary practice address
3942 Se Hawthorne Blvd Portland OR 97214-5242
Phone: (503) 208-4546
Fax: (503) 715-5789
Website:
Map and Directions
Authorized official contact:
Name: Ramos, Gibran Kekoa
Phone: (503) 482-9092

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 63999099 Oregon
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1316236847
LBN Legal business name Whole Life Vitality
DBA Doing business as
Authorized official Ramos, Gibran Kekoa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2011
Last updated May 23rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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