Organization
TRANSFORMATIONAL HEALING: REDISCOVER YOURSELF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN FERNANDEZ-KONG DNP, PMHNP-BC (OWNER)
(808) 388-6277
Entity
Organization
Contact information
Practice address
555 SE MARTIN LUTHER KING JR BLVD UNIT 105, PORTLAND, OR 97214-2595
(971) 266-0177
(855) 631-0578
Mailing address
555 SE MARTIN LUTHER KING JR BLVD UNIT 105, PORTLAND, OR 97214-2595
(971) 266-0177
(855) 631-0578
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500745543
—
OR
Enumeration date
09/26/2025
Last updated
09/26/2025
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