Canterbury Crest, Inc.

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

Legal business name

CANTERBURY CREST, INC.

Practice address

8838 SW 57TH Ave
Portland, OR 97219-3266

Phone

(503) 464-6740

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David McNeil

Title

Executive Director

Phone

(503) 464-6740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1053735563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19147",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800147",
            "telephone_number": "503-464-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8838 SW 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193266",
            "telephone_number": "503-464-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERBURY CREST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-464-6740"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnni Jo Cansler, APRN
• Amanda Cantal, MA, LPC, CADC I
• Canter Naturopathic, LLC
• Hannah Elizabeth Canter, MD
• Joshua Caleb Canter, ND, LAC
• Christopher Jordan Cantino, AAS
• Daniel Murray Canto, LMT
• Kimberly Cantonwine, M.A.
• Amy Gabrielle Cantor, MD
• Grace Willson Cantor, M.A.

• Religious Nonmedical Health Care Institution in Portland, OR
• Providers in Portland, OR by specialty
• Religious Nonmedical Health Care Institution in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.