NEW START PROGRAM (NPI# 1952940298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952940298 |
| Entity Type | Organization |
| Organization Name | NEW START PROGRAM |
| Practice Address |
12180 Se Market St Portland OR 97216-3923 |
| Mailing Address |
7702 Se Springwater Dr Portland OR 97206-0662 |
| Practice Telephone | 9712794993 |
| Practice Fax Number | 9718884626 |
| Mailing Telephone | 5037892430 |
| Mailing Fax Number | 9718884626 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. LARRY CARL WILLIAMS (SUDS COUNSELOR) |
| Authorized Official Telephone | 5037892430 |
| Authorized Official Credential | CADC II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEW START PROGRAM LLC | 12180 Se Market St, Portland, OR 97216-3923 |
| Oregon Corporations, Companies and Business Names | NEW START PROGRAM LLC | 12180 Se Market St, Portland, OR 97216 |
| Street Address |
12180 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
| 1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
| 1801947668 | Crc Health Oregon, LLC | Clinic/Center | 324 Nw Davis St., Portland, OR 97209 | 2007-01-16 |
| 1558412320 | Crc Health Oregon, LLC | Clinic/Center | 2600 Se Belmont St, Portland, OR 97214 | 2007-01-16 |
| 1932250719 | Crc Health Oregon, LLC | Clinic/Center | 6601 Ne 78th Court, Ste A3, Portland, OR 97218 | 2007-01-16 |
| 1326056433 | Lutheran Community Services Northwest | Clinic/Center | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2006-08-04 |
| 1952360760 | Transitions Counseling, Inc. | Clinic/Center | 583 Forest Ave, Portland, ME 04101-1547 | 2006-03-21 |
| 1194297671 | Silver Lining Treatment Center (dba) Recovery Blvd | Clinic/Center | 10209 Se Division St Bldg D, Portland, OR 97266-1372 | 2018-12-21 |
| 1316417397 | Guardian Portland LLC | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2018-12-03 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on NEW START PROGRAM.
| 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.