Active NPI
Wapato Shores Inc
Doing business as Wapato Shores Accessible Transportation
- Non-emergency Medical Transport (VAN)
- Portland, OR
National Provider Identifier
1063941862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.