Pacific Island Community of Oregon LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PACIFIC ISLAND COMMUNITY OF OREGON LLC

Practice address

237 NE Chkalov Dr Ste 215
Vancouver, WA 98684-5054

Phone

(503) 680-1905

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Aitaoto Salu, MANPI 1831851898

Title

Founder

Phone

(503) 680-1905

Specialties & licenses 1

Addresses

Other names 1

• Pacific Island Community of Oregon Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aitaoto Salu

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1831851898
  NPD Authorized official

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1023701372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 NE CHKALOV DR STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845054",
            "telephone_number": "503-680-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 NE CHKALOV DR STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845054",
            "telephone_number": "503-680-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ISLAND COMMUNITY OF OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SALU",
        "authorized_official_first_name": "AITAOTO",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "503-680-1905",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Island Community of Oregon",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.