NPIMap

Organization Active NPI

Oregon Family Support Network

  • Community Health Worker
  • Tigard, OR
National Provider Identifier
1053971051
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
OREGON FAMILY SUPPORT NETWORK
Practice address
7110 SW Fir Loop
Tigard, OR 97223-8084
Phone
(971) 209-5811
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Shannon Boyette
Title
Tri-County Regionl Manager
Phone
(971) 209-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

7110 SW Fir Loop
Tigard, OR 97223-8084

Mailing address

7110 SW Fir Loop
Tigard, OR 97223-8084
Phone (971) 209-5811

National Provider Directory

National Provider Directory

Locations

7110 SW Fir Loop
Tigard, OR 97223
Phone (971) 209-5811

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ofsn/r4/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1053971051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SW FIR LOOP",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238084",
            "telephone_number": "971-209-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 SW FIR LOOP",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238084",
            "telephone_number": "971-209-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON FAMILY SUPPORT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "BOYETTE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "TRI-COUNTY REGIONL MANAGER",
        "authorized_official_telephone_number": "971-209-9292"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.