Organization
MS5 WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SHAKIR (PROGRAM DIRECTOR)
(971) 229-1793
Entity
Organization
Contact information
Practice address
9221 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-5408
(971) 229-1793
Mailing address
9221 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-5408
(971) 229-1793
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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