Individual provider Active NPI

Rachel Michelle Duren

  • Behavior Technician
  • Klamath Falls, OR
National Provider Identifier
1205499894
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
IN-10196058 Issued in OR
Practice address
2421 Washburn Way Ste K
Klamath Falls, OR 97603-4531
Phone
(541) 885-1675
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IN-10196058 OR Primary

Addresses

Primary practice location

2421 Washburn Way Ste K
Klamath Falls, OR 97603-4531

Mailing address

2421 Washburn Way Ste K
Klamath Falls, OR 97603-4531
Phone (541) 885-1675

Other names 1

  • Mrs. Rachel Michelle Duren Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abaclinic@oit.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IN-10196058ORMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1205499894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 WASHBURN WAY STE K",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034531",
            "telephone_number": "541-885-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WASHBURN WAY STE K",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034531",
            "telephone_number": "541-885-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREN",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "IN-10196058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abaclinic@oit.edu",
            "affiliation": "N",
            "address_1": "2421 Washburn Way Ste K",
            "city": "Klamath Falls",
            "state": "OR",
            "country_code": "US",
            "postal_code": "976034531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DUREN",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.