Active NPI
Woodlyne Obi
- Registered Nurse
- Tigard, OR
National Provider Identifier
1205631215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201405425RN
- Practice address
- PO Box 230461
Tigard, OR 97281-0461 - Phone
- (503) 430-9125
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 14, 2025
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201405425RN | OR | Primary |
Addresses
Primary practice location
PO Box 230461
Tigard, OR 97281-0461
Mailing address
PO Box 230461
Tigard, OR 97281-0461
Phone (503) 430-9125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201405425RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obi Home Care Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Portland, OR
- NPI 1184425001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1205631215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230461",
"city": "TIGARD",
"state": "OR",
"postal_code": "972810461",
"telephone_number": "503-430-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 230461",
"city": "TIGARD",
"state": "OR",
"postal_code": "972810461",
"telephone_number": "503-430-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBI",
"first_name": "WOODLYNE",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201405425RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.