Organization Active NPI

Oregon Mindful Wellness, LLC

Doing business as Oregon Mindful Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1174254205
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OREGON MINDFUL WELLNESS, LLC
Doing business as
Oregon Mindful Wellness
Practice address
315 E Main St Ste 200
Hillsboro, OR 97123-4173
Phone
(503) 549-4010
Fax
(503) 836-9456
NPI assigned
Jun 20, 2022
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Damaris Andrade, NPNPI 1881228849
Title
Owner
Phone
(503) 549-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

315 E Main St Ste 200
Hillsboro, OR 97123-4173

Mailing address

315 E Main St Ste 200
Hillsboro, OR 97123-4173
Phone (503) 549-4010

Other names 1

  • Oregon Mindful Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

315 E Main St
Ste 200
Hillsboro, OR 97123
Phone (503) 549-4010

315 E Main St
Ste 212
Hillsboro, OR 97123
Phone (503) 549-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1174254205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234173",
            "telephone_number": "503-549-4010",
            "fax_number": "503-836-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234173",
            "telephone_number": "503-549-4010",
            "fax_number": "503-836-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MINDFUL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-549-4010",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Mindful Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.