NPIMap

Organization Active NPI

Blvd Centers, Inc

Doing business as Blvd

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1154785475
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BLVD CENTERS, INC
Doing business as
Blvd
Practice address
1316 SE 12TH Ave
Portland, OR 97214-3604
Phone
(951) 323-7366
NPI assigned
Apr 12, 2016
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
BLVD CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Mr. Jason Monroe
Title
Coo
Phone
(602) 550-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1316 SE 12TH Ave
Portland, OR 97214-3604

Mailing address

PO Box 512030
Los Angeles, CA 90051-0030
Phone (855) 277-5363

Other names 1

  • Blvd Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blvd Centers Inc6 organizations share this tax ID, including this one
Part of
Blvd Centers Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1316 SE 12th Ave
Portland, OR 97214
Phone (503) 897-1916

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1154785475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512030",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510030",
            "telephone_number": "855-277-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143604",
            "telephone_number": "951-323-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLVD CENTERS, INC",
        "enumeration_date": "2016-04-12",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-550-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blvd",
            "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 28, 2017; 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.