Organization Active NPI

Urban Oasis Wellness PLLC

  • Nurse Practitioner
  • Camas, WA
National Provider Identifier
1164025185
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denice Valent-Musleh, FNPNPI 1588788392
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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.