OrganizationActive
Elements Holistic Wellness
NPI 1366712986 · Health Service Clinic/Center · Clackamas, OR
Provider details
- NPI number
- 1366712986
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mychell Vincent, Owner, Acupuncturist(503) 656-5510
- License
- AC00408 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
15240 Se 82nd Dr
Clackamas, OR 97015-9606
Phone: (503) 656-5510
Fax: (503) 656-8080
Street-level locationGet directions
Mailing address
15240 Se 82nd Dr
Clackamas, OR 97015-9606
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2012-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.