North Star Health LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

NORTH STAR HEALTH LLC

Practice address

7408 SE Clay St
Portland, OR 97215-3531

Phone

(503) 442-5491

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Joanne King, RNNPI 1265680524

Title

Long Term Community Care RN

Phone

(503) 442-5491

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Joanne King, MSW, RN

  • Clinical Social Worker
  • Saint Helens, OR
  • NPI 1265680524

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1043026206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153531",
            "telephone_number": "503-442-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153531",
            "telephone_number": "503-442-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "LONG TERM COMMUNITY CARE RN",
        "authorized_official_telephone_number": "503-442-5491",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Pacific Nutrition Counseling LLC
• North Pacific Physical Therapy LTD
• North Portland Chiropractic Clinic Inc
• North Portland Optical
• North Portland Wellness Group LLC
• Amy North
• Ferhan Chester North, MD, PHD
• Jordana North
• Laurel Lee North, MPA
• Neshe E. North, M.D.

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.