OrganizationActive
Wellness By Design, LLC
NPI 1255824264 · Primary Care Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1255824264
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaleen Klink, Medical Director(971) 998-9747
- License
- 201407547NP-PP (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
12725 Sw Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone: (971) 998-9747
Fax: (503) 747-0634
Approximate (ZIP-level) locationGet directions
Mailing address
1049 Sw Baseline St Ste D490
Hillsboro, OR 97123-3857
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2022-06-18
- Certified
- 2022-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.