NPIMap

Organization Active NPI

Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
National Provider Identifier
1093892895
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORNERSTONE CLINICAL SERVICES PC
Practice address
6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185
Phone
(503) 786-1711
Fax
(503) 786-9919
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Diane L Strong
Title
Office Manager
Phone
(503) 786-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185

Mailing address

6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185
Phone (503) 786-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000950 OR Part B Supplier - Clinic/Group Practice 3274523378 Receives reassigned benefits from 23 practitioners
Practice locations: Milwaukie, OR; Tigard, OR

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7340 SW Hunziker Rd
Ste 210
Tigard, OR 97223
Phone (503) 352-0036

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1093892895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-786-1711"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.