Sistere Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

320800000X Issued in OR

Legal business name

SISTERE INC.

Practice address

1610 W Powell Blvd
Gresham, OR 97030-6843

Phone

(503) 665-5193

Fax

(503) 665-8454

NPI assigned

May 27, 2009

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannan Mays

Title

Administrater

Phone

(503) 665-5193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1023243508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300137",
            "telephone_number": "503-665-5193",
            "fax_number": "503-665-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306843",
            "telephone_number": "503-665-5193",
            "fax_number": "503-665-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_title_or_position": "ADMINISTRATER",
        "authorized_official_telephone_number": "503-665-5193",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "320800000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.