Organization Active NPI

Health Within Wellness Center LLC

  • Health Service Clinic/Center
  • Beaverton, OR
National Provider Identifier
1629218870
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5688 Issued in OR
Legal business name
HEALTH WITHIN WELLNESS CENTER LLC
Practice address
8905 SW Nimbus Ave Ste 140
Beaverton, OR 97008-7103
Phone
(503) 512-9591
Fax
(971) 350-1243
NPI assigned
Mar 1, 2009
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Dr. Dennis Cozzocrea, D.C.NPI 1316017312
Title
Director
Phone
(503) 912-9591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 602807738 WA
Health Service Clinic/Center 261QH0100X 5688 OR Primary

Addresses

Primary practice location

8905 SW Nimbus Ave Ste 140
Beaverton, OR 97008-7103

Mailing address

8905 SW Nimbus Ave Ste 140
Beaverton, OR 97008-7103
Phone (503) 912-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160304001065 OR Part B Supplier - Clinic/Group Practice 4486702685 Receives reassigned benefits from 3 practitioners
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

8905 SW Nimbus Ave
Ste 140
Beaverton, OR 97008
Phone (503) 512-9591

9370 SW Greenburg Rd
Ste N
Tigard, OR 97223
Phone (503) 512-9591

208 N 3rd Ave
#M
Yakima, WA 98902
Phone (509) 965-5750

Practitioners & affiliated clinicians

Practitioners 4

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": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1629218870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087103",
            "telephone_number": "503-912-9591",
            "fax_number": "971-350-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087103",
            "telephone_number": "503-512-9591",
            "fax_number": "971-350-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WITHIN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "COZZOCREA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-912-9591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "602807738",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.