# ADAPTIVE COMPASS WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396556478
- **Authorized official:** MS. MARTRYCE ALITA TAYLOR QMHA (CO-OWNER)
- **Authorized official phone:** (917) 258-0112

## Contact information

- **Practice address:** 6635 N BALTIMORE AVE STE 280, PORTLAND, OR 97203-5458
- **Practice address phone:** (971) 258-0112
- **Mailing address:** 5425 SW HALL BLVD, BEAVERTON, OR 97005-3921
- **Mailing address phone:** (971) 258-0112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 03/18/2026