NPIMap

Organization Active NPI

Juliette'S House Child Abuse Assessment Center

  • Clinic/Center
  • McMinnville, OR
National Provider Identifier
1235220153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JULIETTE'S HOUSE CHILD ABUSE ASSESSMENT CENTER
Practice address
1075 SW Cedarwood Ave
McMinnville, OR 97128-6818
Phone
(503) 435-1550
Fax
(503) 435-1435
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen Coleman
Title
Executive Director
Phone
(503) 435-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1075 SW Cedarwood Ave
McMinnville, OR 97128-6818

Mailing address

1075 SW Cedarwood Ave
McMinnville, OR 97128-6818
Phone (503) 435-1550

Other identifiers 1

IdentifierTypeStateIssuer
150468OtherOROREGON HEATH PLAN

National Provider Directory

National Provider Directory

Locations

1075 SW Cedarwood Ave
McMinnville, OR 97128
Phone (503) 435-1550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235220153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SW CEDARWOOD AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286818",
            "telephone_number": "503-435-1550",
            "fax_number": "503-435-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SW CEDARWOOD AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286818",
            "telephone_number": "503-435-1550",
            "fax_number": "503-435-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIETTE'S HOUSE CHILD ABUSE ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-435-1550"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEATH PLAN",
            "identifier": "150468",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.