OrganizationActive
Illuminate Healing LLC
NPI 1053186247 · Adult Mental Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1053186247
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Linnea Stenhouse, Owner/Manager(503) 272-1482
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2926 Ne Flanders St Ste 3a
Portland, OR 97232-3259
Phone: (503) 272-1482
Approximate (ZIP-level) locationGet directions
Mailing address
3439 Se Hawthorne Blvd # 1177
Portland, OR 97214-5048
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.