Organization Active NPI

Wapato Shores Inc

Doing business as Wapato Shores Accessible Transportation

  • Non-emergency Medical Transport (VAN)
  • Portland, OR
National Provider Identifier
1063941862
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WAPATO SHORES INC
Doing business as
Wapato Shores Accessible Transportation
Practice address
2330 SE Clatsop St
Portland, OR 97202-9001
Phone
(503) 268-1706
NPI assigned
Jun 6, 2017
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Kirk Wayne Foster
Title
Owner / Ceo
Phone
(503) 268-1706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2330 SE Clatsop St
Portland, OR 97202-9001

Mailing address

PO Box 82333
Portland, OR 97282-0333
Phone (503) 268-1706

Other names 1

  • Wapato Shores Accessible Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

3515 NE Sandy Blvd
Portland, OR 97232

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1063941862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82333",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820333",
            "telephone_number": "503-268-1706",
            "fax_number": "866-486-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SE CLATSOP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972029001",
            "telephone_number": "503-268-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAPATO SHORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "503-268-1706"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wapato Shores Accessible Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.