Organization Active NPI

Young East Asian Medicine, LLC

Doing business as Wellness At The Center

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1568761344
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
AC01277 Issued in OR
Legal business name
YOUNG EAST ASIAN MEDICINE, LLC
Doing business as
Wellness At The Center
Practice address
8931 SE Foster Rd.
Ste 102
Portland, OR 97266-4661
Phone
(503) 255-7000
Fax
(503) 255-7001
NPI assigned
Mar 20, 2011
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Dr. Dixie Leigh Young Small, LACNPI 1962634857
Title
Clinic Owner
Phone
(503) 984-8301

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
Multi-Specialty Clinic/Center 261QM1300X AC01277 OR Primary

Addresses

Primary practice location

8931 SE Foster Rd.
Ste 102
Portland, OR 97266-4661

Mailing address

11731 SE Lexington St
Portland, OR 97266-5935
Phone (503) 984-8301

Other identifiers 1

IdentifierTypeStateIssuer
500653508MedicaidOR

Other names 1

  • Wellness At The Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1300579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1568761344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 SE LEXINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665935",
            "telephone_number": "503-984-8301",
            "fax_number": "503-255-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 SE FOSTER RD.",
            "address_2": "STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664661",
            "telephone_number": "503-255-7000",
            "fax_number": "503-255-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG EAST ASIAN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-20",
        "last_updated": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "LEIGH YOUNG",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "503-984-8301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "AC01277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653508",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness At The Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 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.