Rise to Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RISE TO WELLNESS LLC

Practice address

1100 SE Taylor St
Portland, OR 97214-2509

Phone

(602) 838-0783

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Noor Abdirazak

Title

Ceo

Phone

(602) 838-0783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1962270629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "602-838-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SE TAYLOR ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142509",
            "telephone_number": "602-838-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "ABDIRAZAK",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-838-0783"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa McKenzie Ripple
• Patricio A. Riquelme, M.D., PH.D.
• Donald Watson Ririe, D.D.S.
• Donald Gary Rischitelli, MD
• Rise Home Recover
• Rise Up Mental Health, LLC.
• Stacy Lynn Riser, LPC MA CADC QMHP
• Rising Moon Therapy Center LLC
• John E Rising, MD
• Stewart Risinger

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.