NPIMap

Organization Active NPI

R L Perez, PC

Doing business as New Foundation Inner Health

  • Community/Behavioral Health Agency
  • Canby, OR
National Provider Identifier
1033401419
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01184171-4 Issued in OR
Legal business name
R L PEREZ, PC
Doing business as
New Foundation Inner Health
Practice address
550 NW 3Rd Ave
Ste E
Canby, OR 97013-3546
Phone
(503) 266-1407
Fax
(503) 266-1849
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Mr. Robin L Perez, PMHNPNPI 1831216779
Title
Owner
Phone
(503) 266-1407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01184171-4 OR Primary

Addresses

Primary practice location

550 NW 3Rd Ave
Ste E
Canby, OR 97013-3546

Mailing address

550 NW 3Rd Ave
Ste E
Canby, OR 97013-3546
Phone (503) 266-1407

Other names 1

  • New Foundation Inner Health Doing business as

National Provider Directory

National Provider Directory

Locations

550 NW 3rd Ave
Ste E
Canby, OR 97013
Phone (503) 266-1407

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1033401419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NW 3RD AVE",
            "address_2": "STE E",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133546",
            "telephone_number": "503-266-1407",
            "fax_number": "503-266-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NW 3RD AVE",
            "address_2": "STE E",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133546",
            "telephone_number": "503-266-1407",
            "fax_number": "503-266-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R L PEREZ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-266-1407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "01184171-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Foundation Inner Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.