Active NPI
Eternal Wellness Clinic, PLLC
Doing business as Eternal Wellness Clinic
- Family Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ETERNAL WELLNESS CLINIC, PLLC
- Doing business as
- Eternal Wellness Clinic
- Practice address
- 5139 NE 94TH Ave Ste C
Vancouver, WA 98662-6195 - Phone
- (360) 803-1555
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabrielle Rivera-Johnson, NP
- Title
- Owner/Managing Member
- Phone
- (360) 803-1555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
5139 NE 94TH Ave Ste C
Vancouver, WA 98662-6195
Mailing address
5139 NE 94TH Ave Ste C
Vancouver, WA 98662-6195
Phone (360) 803-1555
Other names 1
- ETERNAL WELLNESS CLINIC
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.
-
- Family Nurse Practitioner
- Ridgefield, WA
- NPI 1295522985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791590400000",
"number": "1386549376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5139 NE 94TH AVE STE C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626195",
"telephone_number": "360-803-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5139 NE 94TH AVE STE C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626195",
"telephone_number": "360-803-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETERNAL WELLNESS CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A",
"authorized_official_last_name": "RIVERA-JOHNSON",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
"authorized_official_telephone_number": "360-803-1555",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ETERNAL WELLNESS CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.