Organization Active NPI

Liana Medical Transportation LLC

  • Private Vehicle
  • Portland, OR
National Provider Identifier
1144091125
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
LIANA MEDICAL TRANSPORTATION LLC
Practice address
117 NE 201St Ave
Portland, OR 97230-8062
Phone
(513) 570-3862
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Addisalem Desalegn Fuiliso
Title
Owner
Phone
(513) 570-3862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

117 NE 201St Ave
Portland, OR 97230-8062

Mailing address

117 NE 201St Ave
Portland, OR 97230-8062
Phone (513) 570-3862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1144091125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NE 201ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308062",
            "telephone_number": "513-570-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NE 201ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308062",
            "telephone_number": "513-570-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIANA MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "FUILISO",
        "authorized_official_first_name": "ADDISALEM",
        "authorized_official_middle_name": "DESALEGN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-570-3862"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "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 Jan 10, 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.

Verify at the official NPI Registry.