Peaceful Warrior Wellness Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEACEFUL WARRIOR WELLNESS SERVICES, LLC

Practice address

11630 SE 40TH Ave Ste a
Milwaukie, OR 97222-6195

Phone

(503) 650-0680

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Steven Ruiz Bettencourt, LPCANPI 1649623844

Title

Owner

Phone

(503) 650-0680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Ruiz Bettencourt, PSY.D

  • Mental Health Counselor
  • Milwaukie, OR
  • NPI 1649623844
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1851993554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE STE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-650-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE STE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-650-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WARRIOR WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ BETTENCOURT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-650-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Patton
• Paul D. Ruesch, MD PC
• Dianne Marie Paul
• Timothy Pavlatos, M.S.
• Merci Siah Paye, PTA
• Karen Lynn Peasley, COTA
• Sashi K Pedapati, MD
• Ryan Peebles, DPT
• Brian Peel
• Molly Larson Peichel, DPT

• Community/Behavioral Health Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.