NPIMap

Organization Active NPI

Childrens Behavioral Health

  • Health Maintenance Organization
  • Woodburn, OR
National Provider Identifier
1174072086
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CHILDRENS BEHAVIORAL HEALTH
Practice address
976 N Pacific Hwy
Woodburn, OR 97071-3731
Phone
(503) 981-5851
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Phillip Blea
Title
Team Supervisor
Phone
(503) 588-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

976 N Pacific Hwy
Woodburn, OR 97071-3731

Mailing address

16688 Highway 99E NE Unit 53
Woodburn, OR 97071-9186
Phone (503) 989-5743

National Provider Directory

National Provider Directory

Locations

976 N Pacific Hwy
Woodburn, OR 97071
Phone (503) 981-2466

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1174072086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16688 HIGHWAY 99E NE UNIT 53",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719186",
            "telephone_number": "503-989-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 N PACIFIC HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713731",
            "telephone_number": "503-981-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BLEA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "TEAM SUPERVISOR",
        "authorized_official_telephone_number": "503-588-5352"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.