Organization Active NPI

Tree of Life Christian Wilderness Expeditions

  • Counselor
  • Klamath Falls, OR
National Provider Identifier
1235682360
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
96-10-89 Issued in OR
Legal business name
TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS
Practice address
5728 S 6TH St
Klamath Falls, OR 97603-5108
Phone
(541) 281-2956
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
James Yahne, MAC,CADC III
Title
Director/Counselor
Phone
(541) 281-2956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 96-10-89 OR Primary

Addresses

Primary practice location

5728 S 6TH St
Klamath Falls, OR 97603-5108

Mailing address

PO Box 1035
Klamath Falls, OR 97601-0392
Phone (541) 281-2956

National Provider Directory

National Provider Directory

Locations

5728 S 6th St
Klamath Falls, OR 97603
Phone (541) 281-2956

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1235682360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010392",
            "telephone_number": "541-281-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035108",
            "telephone_number": "541-281-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "YAHNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "541-281-2956",
        "authorized_official_credential": "MAC,CADC III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OR",
            "license": "96-10-89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2016; 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.