Active NPI
Oregon St. Martin Charities Org
- Adult Day Care Clinic/Center
- Portland, OR
National Provider Identifier
1194282806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- OREGON ST. MARTIN CHARITIES ORG
- Practice address
- 5239 SE Woodstock Blvd
Portland, OR 97206-6822 - Phone
- (503) 539-0136
- NPI assigned
- Feb 28, 2019
- 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
- Agnes Sturgeon
- Title
- Director
- Phone
- (176) 092-7478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
5239 SE Woodstock Blvd
Portland, OR 97206-6822
Mailing address
3601 SE 74TH Ave
Portland, OR 97206-2433
Phone (871) 501-7727
Other names 1
- St. Martin Charities LLC
National Provider Directory
National Provider DirectoryLocations
5239 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 539-0136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1194282806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SE 74TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062433",
"telephone_number": "871-501-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5239 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066822",
"telephone_number": "503-539-0136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON ST. MARTIN CHARITIES ORG",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "STURGEON",
"authorized_official_first_name": "AGNES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "176-092-7478"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Martin Charities LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.