Organization Active NPI

Oregon St. Martin Charities Org

  • Adult Day Care Clinic/Center
  • Portland, OR
National Provider Identifier
1194282806
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Feb 28, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.