OrganizationActive
Northwest Vitality Group
NPI 1033853783 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1033853783
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Holly Fay, Owner/Provider/Cmo(503) 757-8535
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
9233 Sw 52nd Ave
Portland, OR 97219-5003
Phone: (503) 757-8535
Fax: (971) 223-0949
Street-level locationGet directions
Mailing address
3 Monrow Pkwy
Lake Oswego, OR 97035
Other names (DBA / former)
- Doing business as
- Northwest Vitality Group
Registry dates
- Enumerated
- 2022-04-27
- Last updated
- 2022-04-27
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.