1St Medcare Plus Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

1ST MEDCARE PLUS INC

Practice address

3363 SE 20TH Ave # 5
Portland, OR 97202-2331

Phone

(574) 217-2408

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Agyare Antwi

Title

Owner

Phone

(574) 217-2408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1043096217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 SE 20TH AVE # 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 SE 20TH AVE # 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022331",
            "telephone_number": "574-217-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST MEDCARE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ANTWI",
        "authorized_official_first_name": "AGYARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-217-2408"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.