Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tigard Holistic Health Clinic, LLC

Organization Clinic/Center · NPI 1053670117

Tigard Holistic Health Clinic, LLC provides Clinic/Center services in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11930 SW Greenburg Rd
Tigard, OR 97223-6453 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 639-1712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 0855 (OR)

Record details

NPI number1053670117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Raffety — Owner · (503) 639-1712
NPI enumeratedMay 10, 2012
Last updated in NPPESMay 10, 2012
Mailing address11930 Sw Greenburg Rd, Tigard, OR 97223-6453

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