Active NPI
Jeniffer White
- Behavior Technician
- Portland, OR
National Provider Identifier
1255998167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 205 SE Spokane St Ste 329
Portland, OR 97202 - Phone
- (818) 241-6780
- NPI assigned
- May 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
205 SE Spokane St Ste 329
Portland, OR 97202
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other practice location 1
6200 SW Arctic Dr
Beaverton, OR 97005-9447
Phone (503) 224-2184
Other practice location 2
6200 SW Arctic Dr
Beaverton, OR 97005-9447
Phone (503) 224-2184
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1255998167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD STE 560",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062380",
"telephone_number": "818-241-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SE SPOKANE ST STE 329",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97202",
"telephone_number": "818-241-6780"
}
],
"practiceLocations": [
{
"address_1": "6200 SW Arctic Dr",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970059447",
"country_code": "US",
"telephone_number": "503-224-2184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 SW Arctic Dr",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970059447",
"country_code": "US",
"telephone_number": "503-224-2184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JENIFFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-26",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.