Wellness by Design, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201407547NP-PP Issued in OR

Legal business name

WELLNESS BY DESIGN, LLC

Practice address

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687

Phone

(971) 998-9747

Fax

(503) 747-0634

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jaleen Lynn Klink, MSN, FNP-C

Title

Medical Director

Phone

(971) 998-9747

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.

• Kristin Hunziker, CMA (AAMA), QMHA-R

  • Mental Health Counselor
  • Hillsboro, OR
  • NPI 1992461156
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655510400000",
    "number": "1255824264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SW BASELINE ST STE D490",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233857",
            "telephone_number": "971-998-9747",
            "fax_number": "503-747-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "971-998-9747",
            "fax_number": "503-747-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BY DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "KLINK",
        "authorized_official_first_name": "JALEEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "971-998-9747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "201407547NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Carl Weissbach, P.T.
• Juliann Weissman, MS, BCBA, LBA
• Karen Elaine Weitz, LMT
• Janice Weitzer, LMT
• Kara Marie Welborn, OTR/L
• Wellness PNW, LLC
• Wellness PNW, LLC
• Wellness Way Beaverton LLC
• Wellpsyche Portland PC
• Asela Agtay Wells

• Primary Care Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.