Choices Domestic Violence Intervention Program, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHOICES DOMESTIC VIOLENCE INTERVENTION PROGRAM, LLC

Practice address

9828 E Burnside St Ste 210
Portland, OR 97216-2364

Phone

(503) 293-7597

Fax

(503) 232-4446

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By 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

Ms. Christine A. Crowe, LMFT, CADCIII

Title

Director

Phone

(503) 239-7597

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Victoria Dianne Olsen, CADC I

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1346546298
  NPD (past)

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1063744175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162364",
            "telephone_number": "503-293-7597",
            "fax_number": "503-232-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162364",
            "telephone_number": "503-293-7597",
            "fax_number": "503-232-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES DOMESTIC VIOLENCE INTERVENTION PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-239-7597",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, CADCIII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Choi
• Tiffany Choi, PA-C
• Vivian Meiwah Choi
• Young K Choi, M.D.
• Choices Counseling and Skills Training Center LLC
• Chun Khai Chong, MD
• Esther G Chong
• Lanceford M Chong, MD
• Lisa Chong, PHARMD
• Esther Kim Choo, MD

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.