OrganizationActive
Serenity Wellness Clinic LLC
NPI 1205459880 · Health Service Clinic/Center · Tigard, OR
Provider details
- NPI number
- 1205459880
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bijana Kadakia, Owner(503) 987-3622
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
12570 Sw 69th Ave Ste 101
Tigard, OR 97223-2552
Phone: (503) 987-3622
Fax: (503) 987-3022
Street-level locationGet directions
Mailing address
Po Box 230095
Tigard, OR 97281-0095
Additional practice locations (1)
- 51669 Columbia River Hwy Ste 130Scappoose, OR 97056-4508Phone: (503) 680-8770Fax: (503) 691-0901
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.