Positive Inner Self, LLC
NPI 1912577305 · Multi-Specialty Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1912577305
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Willlis, Office Manager(503) 461-3910
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health & Wellness Coach171400000X
Other Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Naturopath175F00000X
Other Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mind & Body Wellness Center
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.