Jordan Angell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000104018 Issued in OR

Practice address

1049 SW Baseline St Ste D480
Hillsboro, OR 97123-3863

Phone

(503) 465-2749

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bridgestochange/r4/

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.

• Bridges to Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1770365413

  Peer Specialist

  NPD
• Bridges to Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1326410986
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1174291660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16576",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SW BASELINE ST STE D480",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233863",
            "telephone_number": "503-465-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000104018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Lloyd Andreasen, OD
• David Anker Andrews, MD
• Joshua Caleb Andrews
• Nenice Marie Andrews
• Claire Andrus, LPC, MA, CADC III
• Saheleh Ansarizadeh
• David E Anselma
• Nellyda M Anslow, AGPCNP
• Ashley Anstett
• Anthony C Nguyen MD

• Peer Specialist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.