Active NPI
Eudaemonia Equine Connections, Inc.
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1114672789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851674451 | Other | CA | NPI |
Other names 1
- Eudaemonia Equine Connections, Inc.
National Provider Directory
National Provider DirectoryLocations
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.