Healthcare Provider Details

I. General information

NPI: 1225545122
Provider Name (Legal Business Name): COMPASS WHOLE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8513 NE HAZEL DELL AVE, SUITE 202
VANCOUVER WA
98665
US

IV. Provider business mailing address

8513 NE HAZEL DELL AVE, SUITE 202
VANCOUVER WA
98665
US

V. Phone/Fax

Practice location:
  • Phone: 360-558-7730
  • Fax: 360-266-5013
Mailing address:
  • Phone: 360-558-7730
  • Fax: 360-266-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERICA LONDON
Title or Position: OWNER
Credential: LMFT
Phone: 971-381-0811