Organization Active NPI

Youth Guidance Association

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1154758266
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
YOUTH GUIDANCE ASSOCIATION
Practice address
2730 NE Flanders St
Portland, OR 97232-3160
Phone
(503) 234-0085
Fax
(503) 234-0089
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mr. Martin James Lowen
Title
Executive Director
Phone
(503) 234-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X OR Primary

Addresses

Primary practice location

2730 NE Flanders St
Portland, OR 97232-3160

Mailing address

2730 NE Flanders St
Portland, OR 97232-3160
Phone (503) 234-0085

National Provider Directory

National Provider Directory

Locations

2730 NE Flanders St
Portland, OR 97232
Phone (503) 234-0085

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1154758266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 NE FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323160",
            "telephone_number": "503-234-0085",
            "fax_number": "503-234-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 NE FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323160",
            "telephone_number": "503-234-0085",
            "fax_number": "503-234-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH GUIDANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "LOWEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-234-0085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "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 Oct 3, 2013; 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.