OrganizationActive
Center for Brain-Wise Living
NPI 1861639312 · Community/Behavioral Health Agency · Portland, OR
Provider details
- NPI number
- 1861639312
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Bonnie Badenoch, President(360) 601-6859
- License
- 19278 (OR)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
10011 Se Division St
Suite 312
Portland, OR 97266-1351
Phone: (360) 601-6859
Fax: (360) 944-2071
Street-level locationGet directions
Mailing address
16420 Se Mcgillivray Blvd
Vancouver, WA 98683-3461
Registry dates
- Enumerated
- 2009-01-20
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.