Active NPI
Urban Oasis Wellness PLLC
- Nurse Practitioner
- Camas, WA
National Provider Identifier
1164025185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- URBAN OASIS WELLNESS PLLC
- Practice address
- 418 NE 4TH Ave Ste 105
Camas, WA 98607-2158 - Phone
- (312) 203-7781
- NPI assigned
- Nov 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denice Valent-Musleh, FNP
- Title
- Owner
- Phone
- (312) 203-7781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
418 NE 4TH Ave Ste 105
Camas, WA 98607-2158
Mailing address
5706 NW El Rey Dr
Camas, WA 98607-9120
Phone (312) 203-7781
National Provider Directory
National Provider DirectoryLocations
418 NE 4th Ave
Ste 105
Camas, WA 98607
Phone (312) 203-7781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Camas, WA
- NPI 1588788392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605830400000",
"number": "1164025185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 NW EL REY DR",
"city": "CAMAS",
"state": "WA",
"postal_code": "986079120",
"telephone_number": "312-203-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 NE 4TH AVE STE 105",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072158",
"telephone_number": "312-203-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN OASIS WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A",
"authorized_official_last_name": "VALENT-MUSLEH",
"authorized_official_first_name": "DENICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-203-7781",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.