Active NPI
Tree of Life Christian Wilderness Expeditions
- Counselor
- Klamath Falls, OR
National Provider Identifier
1235682360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 96-10-89
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.