OrganizationActive
Wild Remembrance LLC
NPI 1023690765 · Clinical Social Worker · White Salmon, WA
Provider details
- NPI number
- 1023690765
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Hummer, Owner(503) 705-5241
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 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
23 Wnuk Rd
White Salmon, WA 98672-8428
Phone: (503) 705-5241
Street-level locationGet directions
Mailing address
23 Wnuk Rd
White Salmon, WA 98672-8428
Other names (DBA / former)
- Doing business as
- Wild Awaken Therapy
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.