Organization
WELLNESS BOUND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JEAN KIDBY PMHNP-BC (OWNER/PROVIDER)
(541) 295-5172
Entity
Organization
Contact information
Practice address
12999 S MACDONALDS PL, OREGON CITY, OR 97045-7529
(541) 295-5172
(971) 362-4818
Mailing address
PO BOX 159, WARRENTON, OR 97146-0159
(971) 368-1980
(541) 550-2908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124427950
INDIVIDUAL NPI
OR
01
—
1235721085
FACILITY NPI
OR
01
—
1902441959
INDIVIDUAL NPI
OR
05
—
1902441959
—
OR
05
—
2357805
—
WA
05
—
500704924
—
OR
05
—
500788714
—
OR
05
—
500832993
—
OR
Enumeration date
02/03/2021
Last updated
04/10/2026
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