Active NPI
Performance Modalities Inc.
- Oxygen Equipment & Supplies (DME)
- Portland, OR
National Provider Identifier
1164152898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- PERFORMANCE MODALITIES INC.
- Practice address
- 11790 SW Barnes Rd Ste 360
Portland, OR 97225-5935 - Phone
- (866) 687-4463
- NPI assigned
- Jun 15, 2022
- Last updated
- Jul 17, 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
- Luana Michele Hall
- Title
- Director of Compliance
- Phone
- (206) 569-4601
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
11790 SW Barnes Rd Ste 360
Portland, OR 97225-5935
Mailing address
19625 62ND Ave S Ste A101
Kent, WA 98032-1106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.performancehomemed.com |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
11790 SW Barnes Rd
Ste 360
Portland, OR 97225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1164152898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19625 62ND AVE S STE A101",
"city": "KENT",
"state": "WA",
"postal_code": "980321106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11790 SW BARNES RD STE 360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255935",
"telephone_number": "866-687-4463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE MODALITIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-15",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "LUANA",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "206-569-4601"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.performancehomemed.com",
"affiliation": "N",
"address_1": "11790 SW Barnes Rd Ste 360",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972255935",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 17, 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.