Portland Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PORTLAND FAMILY SERVICES LLC

Practice address

439 N Broadway
Portland, OR 97227-1803

Phone

(725) 218-6251

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Micarol Copeland

Title

Owner

Phone

(725) 218-6251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1073164018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 N BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271803",
            "telephone_number": "725-218-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271803",
            "telephone_number": "725-218-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MICAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-218-6251"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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