Organization Active NPI

Eudaemonia Equine Connections, Inc.

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1114672789
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EUDAEMONIA EQUINE CONNECTIONS, INC.
Practice address
515 NW Saltzman Rd #744
Portland, OR 97229
Phone
(503) 862-7906
Fax
(971) 404-2460
NPI assigned
Feb 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Rebecca Rose Wara-Goss, LMFT, PHD
Title
Founder/Executive Director
Phone
(503) 862-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

515 NW Saltzman Rd #744
Portland, OR 97229

Mailing address

515 NW Saltzman Rd # 744
Portland, OR 97229-6098
Phone (503) 862-7906

Other identifiers 1

IdentifierTypeStateIssuer
1851674451OtherCANPI

Other names 1

  • Eudaemonia Equine Connections, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1865 NW 169th Pl
Ste 201
Beaverton, OR 97006
Phone (503) 681-8041

NPI Registry JSON

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1114672789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD # 744",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296098",
            "telephone_number": "503-862-7906",
            "fax_number": "971-404-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD #744",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-862-7906",
            "fax_number": "971-404-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDAEMONIA EQUINE CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "WARA-GOSS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-862-7906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851674451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eudaemonia Equine Connections, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eudaemonia Equine Connections, Inc.",
            "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 Jul 10, 2023; 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.