Organization Active NPI

Resonance

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1184210213
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESONANCE
Practice address
3519 NE 15TH Ave Ste 151
Portland, OR 97212-2356
Phone
(503) 567-4867
Fax
(800) 433-1396
NPI assigned
Dec 13, 2020
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Amanda Singh Bans, LCSWNPI 1437501285
Title
Owner
Phone
(541) 816-0362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3519 NE 15TH Ave Ste 151
Portland, OR 97212-2356

Mailing address

PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655

National Provider Directory

National Provider Directory

Locations

333 NE Russell St
Ste 200
Portland, OR 97212
Phone (503) 289-1390

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1184210213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 NE 15TH AVE STE 151",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122356",
            "telephone_number": "503-567-4867",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESONANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BANS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-816-0362",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 6, 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.