Active NPI
Chitari Foundation
- Health Service Clinic/Center
- Happy Valley, OR
National Provider Identifier
1033647201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 00217
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.