Healthcare Provider Details

I. General information

NPI: 1043158181
Provider Name (Legal Business Name): HEART WISDOM HEALING ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 NE HOLLADAY ST # B1
PORTLAND OR
97232-2504
US

IV. Provider business mailing address

3125 NE HOLLADAY ST # B1
PORTLAND OR
97232-2504
US

V. Phone/Fax

Practice location:
  • Phone: 503-217-4457
  • Fax: 503-662-6420
Mailing address:
  • Phone: 503-217-4457
  • Fax: 503-662-6420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. TRISHA PARKS
Title or Position: DOCTOR OF CHINESE MEDICINE
Credential: DSOM LAC, MSCN, MSCG
Phone: 971-404-8166