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General NPI Number Information
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NPI Number | 1063399467
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Entity Type | Organization
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Legal Business Name | GODDESS GROVES WELLNESS & WORDS
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 11712 SE POWELL BLVD APT 17
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City | PORTLAND
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State | OR
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Zip | 97266-1666
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Country | US
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Telephone | 503-875-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 11712 SE POWELL BLVD APT 17
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City | PORTLAND
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State | OR
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Zip | 97266-1666
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Country | US
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Telephone | 503-875-8809
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARMEN OUSHIAL HAWKINS
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Credential | PWS, QMHA, DOULA
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Telephone | 803-875-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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