Serenity Wellness Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERENITY WELLNESS CLINIC LLC

Practice address

12570 SW 69TH Ave Ste 101
Tigard, OR 97223-2552

Phone

(503) 987-3622

Fax

(503) 987-3022

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Bijana Devo Kadakia, ND, LACNPI 1407023393

Title

Owner

Phone

(503) 987-3622

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bijana Devo Kadakia, ND, LAC

  • Naturopath
  • Tigard, OR
  • NPI 1407023393
  NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1205459880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230095",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972810095",
            "telephone_number": "503-987-3622",
            "fax_number": "503-987-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 SW 69TH AVE STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232552",
            "telephone_number": "503-987-3622",
            "fax_number": "503-987-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51669 Columbia River Hwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Scappoose",
            "state": "OR",
            "postal_code": "970564508",
            "country_code": "US",
            "telephone_number": "503-680-8770",
            "fax_number": "503-691-0901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "BIJANA",
        "authorized_official_middle_name": "DEVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-987-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenaida Sellars, RBT
• Romana Sena
• Samuel David Seo, D.M.D
• Parisa Sepehri, D.D.S.
• Serenity Palliative Care and Hospice, LLC
• Nicolasa Serrano, NICKY
• Iris Sexton
• Kylie Sexton
• Melika Shabani
• Jamie Dawn Shackelford, LMT

• Health Service Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.