Whole Life Vitality

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WHOLE LIFE VITALITY

Practice address

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Phone

(503) 208-4546

Fax

(503) 715-5789

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Gibran Kekoa RamosNPI 1962735217

Title

Owner

Phone

(503) 482-9092

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Gibran K Ramos, N.D., L.AC

  • Naturopath
  • Portland, OR
  • NPI 1962735217
  NPD Authorized official
• Dessa Bingley, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1912301086
  NPD
• Jesse Ian Buttler, N.D.

  • Naturopath
  • Milwaukie, OR
  • NPI 1760667083
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1316236847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD # 178",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145246",
            "telephone_number": "503-482-9092",
            "fax_number": "503-715-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "503-208-4546",
            "fax_number": "503-715-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GIBRAN",
        "authorized_official_middle_name": "KEKOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-482-9092"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "63999099",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crista Joy Whittington, LCSW
• Whole Body Healing & Wellness Clinic
• Whole Circle Pediatric Therapy, Inc
• Whole Family Wellness Center LLC
• Whole Life Therapy
• Whole Mama Whole Child
• Whole Systems Counseling and Consultation
• Whole Systems Healthcare
• Whole You, LLC
• Wholeness Emergent LLC

• Multi-Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.