NPIMap

Organization Active NPI

HM-Hu

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1033607494
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
THW1630 Issued in OR
Legal business name
HM-HU
Practice address
4512 NE Portland Hwy
Portland, OR 97218-1363
Phone
(503) 935-1513
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Steven WadeNPI 1750886255
Title
Executive Director
Phone
(503) 935-1513

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
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X THW1630 OR Primary

Addresses

Primary practice location

4512 NE Portland Hwy
Portland, OR 97218-1363

Mailing address

4512 NE Portland Hwy
Portland, OR 97218-1363
Phone (503) 935-1513

Other identifiers 4

IdentifierTypeStateIssuer
THW1630OtherORADULT MENTAL HEALTH
THW1630OtherORADULT ADDICTION
THW1630OtherORPEER SERVICE
THW1630MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1033607494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 NE PORTLAND HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181363",
            "telephone_number": "503-935-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 NE PORTLAND HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181363",
            "telephone_number": "503-935-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HM-HU",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-935-1513"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW1630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT MENTAL HEALTH",
            "identifier": "THW1630",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT ADDICTION",
            "identifier": "THW1630",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEER SERVICE",
            "identifier": "THW1630",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THW1630",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2018; 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.