Organization Active NPI

Chitari Foundation

  • Health Service Clinic/Center
  • Happy Valley, OR
National Provider Identifier
1033647201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
00217 Issued in OR
Legal business name
CHITARI FOUNDATION
Practice address
16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257
Phone
(503) 400-9397
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Chantelle Baldwin, DO ND
Title
Board Member
Phone
(503) 400-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 00217 OR Primary

Addresses

Primary practice location

16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257

Mailing address

16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257
Phone (503) 400-9397

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033647201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 214",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-400-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 214",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-400-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITARI FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "503-400-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "00217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.