NPIMap

Organization Active NPI

Cascadia

  • Adult Companion
  • Portland, OR
National Provider Identifier
1013055953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
3726000OOX Issued in OR
Legal business name
CASCADIA
Practice address
2330 NE Siskiyou St
Portland, OR 97212-2471
Phone
(503) 528-0757
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Denise BroadousNPI 1114140696
Title
Residental Counselor 1
Phone
(503) 528-0757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X 3726000OOX OR Primary

Addresses

Primary practice location

2330 NE Siskiyou St
Portland, OR 97212-2471

Mailing address

6902 N Albina Ave
Portland, OR 97217-1604
Phone (503) 288-1688

Other names 1

  • arbor place Former legal business name

National Provider Directory

National Provider Directory

Locations

2330 NE Siskiyou St
Portland, OR 97212
Phone (503) 528-0757

Practitioners & affiliated clinicians

Practitioners 160

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 160

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013055953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171604",
            "telephone_number": "503-288-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122471",
            "telephone_number": "503-528-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROADOUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "RESIDENTAL COUNSELOR 1",
        "authorized_official_telephone_number": "503-528-0757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "OR",
            "license": "3726000OOX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "arbor place",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.