PORTLAND AREA RECOVERY SERVICES (NPI# 1689002859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689002859 |
Entity Type | Organization |
Organization Name | PORTLAND AREA RECOVERY SERVICES |
Practice Address |
1017 Sw Morrison St Suite 502 Portland OR 97205-2635 |
Mailing Address |
2425 Sw 171st Pl Beaverton OR 97006-4300 |
Practice Telephone | 9713005518 |
Mailing Telephone | 9713005518 |
Enumeration Date | 2013-10-24 |
Last Update Date | 2013-10-24 |
Authorized Official Name | JOHN JENNINGS (OWNER) |
Authorized Official Telephone | 9713005518 |
Authorized Official Credential | CADC II |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1017 SW MORRISON ST SUITE 502 |
City | PORTLAND |
State | OR |
Zip Code | 97205-2635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760544571 | Shelly Bernard Getzlaf | Psychologist | 1017 Sw Morrison St, Ste 411, Portland, OR 97205-2629 | 2006-12-15 |
1033573340 | Gwen Callahan | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2016-04-12 |
1831556562 | Portland Massage Arts LLC | Massage Therapist | 1017 Sw Morrison St, #405, Portland, OR 97205-2635 | 2016-01-26 |
1184033706 | Andrew Freeman | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2014-08-07 |
1598192007 | Sarah M Stivers | Specialist | 1017 Sw Morrison St, Suite 312, Portland, OR 97205-2635 | 2013-09-28 |
1629311147 | Vicki Leigh Lorayne | Mechanotherapist | 1017 Sw Morrison St, # 403, Portland, OR 97205-2635 | 2013-04-03 |
1508105511 | Mikako Saito | Massage Therapist | 1017 Sw Morrison St, Suite 507c, Portland, OR 97205-2635 | 2013-02-11 |
1467701227 | Optimal Performance Therapeutic Massage | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-09-07 |
1821346883 | Melissa Baldwin | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-08-23 |
1659644714 | Peter Borden | Massage Therapist | 1017 Sw Morrison St, #405, Portland, OR 97205-2635 | 2012-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
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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.