OrganizationActive
Wild Pine Wellness LLC
NPI 1740870641 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bend, OR
Provider details
- NPI number
- 1740870641
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allison Faucher Sherman, Licensed Professional Counselor(541) 904-0403
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
131 Nw Hawthorne Ave Ste 211
Bend, OR 97703-2958
Phone: (619) 890-8425
Street-level locationGet directions
Mailing address
131 Nw Hawthorne Ave Ste 211
Bend, OR 97703-2958
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.