Wild Hearts Pdx
NPI 1265253082 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Wild Hearts Pdx is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Portland, OR (NPI 1265253082).
Provider details
- NPI number
- 1265253082
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shanako Devoll, President(503) 887-6255
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-10-23
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Wild Hearts Pdx's NPI number?
- Wild Hearts Pdx's National Provider Identifier (NPI) is 1265253082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Hearts Pdx?
- Wild Hearts Pdx is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wild Hearts Pdx located?
- Wild Hearts Pdx's practice location on file with NPPES is 4531 Se Belmont St Ste 119, Portland, OR 97215-1675.
- What is Wild Hearts Pdx's phone number?
- The practice phone number listed in the NPPES registry for Wild Hearts Pdx is (503) 887-6255.
- Who is the authorized official for Wild Hearts Pdx?
- The authorized official listed on Wild Hearts Pdx's NPPES record is Shanako Devoll, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Hearts Pdx's NPI active?
- Yes — Wild Hearts Pdx's NPI (1265253082) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.