Organization Active NPI

Wound DVSN LLC

  • Home Health Agency
  • Portland, OR
National Provider Identifier
1275495558
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WOUND DVSN LLC
Practice address
12095 SE Oak St
Portland, OR 97216-3745
Phone
(720) 690-5215
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Amarachi IrechukwuNPI 1700657525
Title
Owner
Phone
(720) 690-5215

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12095 SE Oak St
Portland, OR 97216-3745

Mailing address

12095 SE Oak St
Portland, OR 97216-3745
Phone (720) 690-5215

National Provider Directory

National Provider Directory

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": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1275495558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163745",
            "telephone_number": "720-690-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163745",
            "telephone_number": "720-690-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND DVSN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "IRECHUKWU",
        "authorized_official_first_name": "AMARACHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-690-5215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.