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Positive Inner Self, LLC

Multi-Specialty Clinic/Center in Beaverton, OR · enumerated 2021 · authorized official Jennifer Willlis, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912577305

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Registry record

Entity type Organization (Type 2)
Legal business name Positive Inner Self, LLC
Other name <Unavail>
Practice address 6700 Sw 105th Ave Ste 215, Beaverton, OR, 97008
Fax (971) 277-7291
Enumeration date Jun 28, 2021
Last updated in NPPES Dec 29, 2025

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
111N00000X Chiropractor Chiropractic Providers Secondary
171100000X Acupuncturist Other Service Providers Secondary
171400000X Health & Wellness Coach Other Service Providers Secondary
175F00000X Naturopath Other Service Providers Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jennifer Willlis
Title Office Manager

Other identifiers

Identifier Type State Issuer
500794949 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-29. Verify at npiregistry.cms.hhs.gov.
Where is Positive Inner Self, LLC located?
The practice location on file with NPPES is in Beaverton, OR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-29.