EDUCATIONAL TRAINING PROGRAM INC. (NPI# 1417375270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417375270 |
| Entity Type | Organization |
| Organization Name | EDUCATIONAL TRAINING PROGRAM INC. |
| Practice Address |
15420 Forsythe Rd Oregon City OR 97045-8742 |
| Mailing Address |
Po Box 69 Oregon City OR 97045-0069 |
| Practice Telephone | 5419156766 |
| Practice Fax Number | 5037239964 |
| Mailing Telephone | 5419156766 |
| Mailing Fax Number | 5037239964 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2014-03-30 |
| Authorized Official Name | MR. KAMBIZ GHASEDI (PRESIDENT) |
| Authorized Official Telephone | 5419156766 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDUCATIONAL TRAINING PROGRAM INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EDUCATIONAL TRAINING PROGRAM INC. | 15420 S Forsythe Rd, Oregon City, OR 97045 |
| Street Address |
15420 FORSYTHE RD |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-8742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972724375 | Center for Continuous Improvement | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Main St, Suite 200, Oregon City, OR 97045-1834 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907960 | Tandem Northwest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 348 Dennis Ln N, Keizer, OR 97303-5936 | 2020-06-23 |
| 1184240558 | Community Access Services II, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1815 Nw 169th Pl Ste 1060, Beaverton, OR 97006-7365 | 2020-06-22 |
| 1134619752 | Asd Stepping Stones To Success | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 91145 N Willamette St Ste 8211, Coburg, OR 97408-9700 | 2018-05-18 |
| 1669864724 | Visions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 E Broadway Ste 100, Eugene, OR 97401-3175 | 2015-02-26 |
| 1023356391 | Trust Home Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 | 2013-01-22 |
| 1255678157 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1555 Post St, Lebanon, OR 97355-4060 | 2013-01-11 |
| 1881931798 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3415 Columbia View Dr, The Dalles, OR 97058-9703 | 2013-01-11 |
| 1255676078 | Renew Consulting, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8129 Sw 168th Ave, Beaverton, OR 97007-6504 | 2012-12-05 |
| 1285978569 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 704 38th Ave Se, Albany, OR 97322-3807 | 2012-11-27 |
| 1427354844 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Broadalbin St Sw, Albany, OR 97321-2200 | 2011-02-02 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on EDUCATIONAL TRAINING PROGRAM INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.