Active NPI
Joseph Clifford Stevens, CPHT
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1154915114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0012757
- Practice address
- 8145 SE 17TH Ave
Portland, OR 97202-6718 - Phone
- (503) 382-2253
- Fax
- (971) 407-4795
- NPI assigned
- Feb 21, 2021
- Last updated
- Feb 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0012757 | OR | Primary |
Addresses
Primary practice location
8145 SE 17TH Ave
Portland, OR 97202-6718
Mailing address
1701 SW Columbia St Apt 308
Portland, OR 97201-2589
Phone (503) 507-8431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-0012757 | OR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Current | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients |
Locations
8145 SE 17th Ave
Portland, OR 97202
Phone (503) 382-2253
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1154915114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SW COLUMBIA ST APT 308",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972012589",
"telephone_number": "503-507-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 SE 17TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026718",
"telephone_number": "503-382-2253",
"fax_number": "971-407-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JOSEPH",
"middle_name": "CLIFFORD",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0012757",
"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 Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.