OrganizationActive
Cultivating a New Life LLC
NPI 1003406505 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1003406505
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fumiyo Nishimoto, Owner(541) 904-0468
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Se Spokane St Ste 300
Portland, OR 97202-6487
Phone: (541) 904-0468
Street-level locationGet directions
Mailing address
205 Se Spokane St Ste 300
Portland, OR 97202-6487
Other names (DBA / former)
- Former legal business name
- Cultivating a New Life
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.