NPIMap

Organization Active NPI

Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1205756491
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NATIVE AMERICAN REHABILITATION ASSOC INC
Practice address
1954 SE 182ND Ave
Portland, OR 97233-5602
Phone
(503) 224-1044
NPI assigned
Jul 17, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Ray Dunn Jr.
Title
PR & Workforce Compliance Director
Phone
(971) 288-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1954 SE 182ND Ave
Portland, OR 97233-5602

Mailing address

PO Box 1569
Attention Credentialing
Portland, OR 97207-1569
Phone (971) 288-9121

Other practice location 1

620 NE 2nd St
Gresham, OR 97030-7514
Phone (971) 274-3757

Other identifiers 1

IdentifierTypeStateIssuer
126370MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Nara-NW Indian Health C10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1954 SE 182nd Ave
Portland, OR 97233
Phone (425) 800-5007

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1205756491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "address_2": "ATTENTION CREDENTIALING",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071569",
            "telephone_number": "971-288-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335602",
            "telephone_number": "503-224-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307514",
            "country_code": "US",
            "telephone_number": "971-274-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIVE AMERICAN REHABILITATION ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PR & WORKFORCE COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "971-288-9121",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126370",
            "state": "OR"
        }
    ],
    "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 Sep 23, 2026; 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.