Organization
INNER DOMAIN HOLISTIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON FOX PMHNP, FNP (OWNER)
(503) 495-3332
Entity
Organization
Contact information
Practice address
2700 SE 26TH AVE STE D, PORTLAND, OR 97202-1288
(503) 974-4624
(503) 388-3977
Mailing address
4110 SE HAWTHORNE BLVD # 217, PORTLAND, OR 97214-5246
(503) 495-3332
(503) 388-3977
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
01/27/2026
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