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Organization

VIBRANT MENTAL WELLNESS LLC

Active
Parent organization
VIBRANT MENTAL WELLNESS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VIBRANT MENTAL WELLNESS LLC
Authorized official
JACKLINE AUKA (OWNER)
(432) 267-8216
Entity
Organization

Contact information

Practice address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500
(763) 568-6378
Mailing address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary

Other

Enumeration date
02/20/2024
Last updated
02/11/2026
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