Active NPI
Portland Opportunities Industrialization Center, Inc.
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1124870779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- PORTLAND OPPORTUNITIES INDUSTRIALIZATION CENTER, INC.
- Practice address
- 9828 E Burnside St Ste 225
Portland, OR 97216-2364 - Phone
- (503) 797-7222
- NPI assigned
- Apr 4, 2024
- 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
- Ms. Marcia Ann Stilwell
- Title
- Director Business Operations
- Phone
- (503) 929-7301
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
9828 E Burnside St Ste 225
Portland, OR 97216-2364
Mailing address
9828 E Burnside St Ste 225
Portland, OR 97216-2364
Phone (503) 797-7222
National Provider Directory
National Provider DirectoryLocations
9828 E Burnside St
Ste 225
Portland, OR 97216
Phone (503) 797-7222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1124870779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9828 E BURNSIDE ST STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162364",
"telephone_number": "503-797-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9828 E BURNSIDE ST STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162364",
"telephone_number": "503-797-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND OPPORTUNITIES INDUSTRIALIZATION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "STILWELL",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR BUSINESS OPERATIONS",
"authorized_official_telephone_number": "503-929-7301",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Portland Obstetrics & Gynecology Associates PC
- Portland Ocd and Anxiety Center LLC
- Portland Oculoplastics, PC
- Portland of Cascadia LLC
- Portland of Olympus, LLC
- Portland Oral and Facial Surgery
- Portland Ortho Pain & Spine LLC
- Portland Orthodontic Group
- Portland Orthodontic Group, LLC
- Portland Orthopedic Services P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.