Organization Active NPI

Siloam International Inc

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1104018522
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SILOAM INTERNATIONAL INC
Practice address
732 SW 3Rd Ave
Suite 615
Portland, OR 97204-2416
Phone
(503) 381-5881
Fax
(503) 283-1898
NPI assigned
Aug 10, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. David A. Jones, DRUG & ALCOHOL MANPI 1649617176
Title
Ex. Dir.
Phone
(503) 381-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

732 SW 3Rd Ave
Suite 615
Portland, OR 97204-2416

Mailing address

732 SW 3Rd Ave
Suite 615
Portland, OR 97204-2416
Phone (503) 381-5881

National Provider Directory

National Provider Directory

Locations

732 SW 3rd Ave
Ste 615
Portland, OR 97204
Phone (503) 224-2345

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1104018522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SW 3RD AVE",
            "address_2": "SUITE 615",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042416",
            "telephone_number": "503-381-5881",
            "fax_number": "503-283-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 SW 3RD AVE",
            "address_2": "SUITE 615",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042416",
            "telephone_number": "503-381-5881",
            "fax_number": "503-283-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EX. DIR.",
        "authorized_official_telephone_number": "503-381-5881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DRUG & ALCOHOL MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2008; 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.