The Estuary Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE ESTUARY CENTER

Practice address

7475 SW Oleson Rd
Portland, OR 97223-7474

Phone

(971) 804-0276

Fax

(503) 296-2972

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kellee Ann Hernandez

Title

Executive Director

Phone

(971) 804-0276

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Tec2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Estuary Center

  • Behavior Analyst
  • Portland, OR
  • NPI 1821898768
  NPD tax ID

Practitioners 3

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

• Kiel Rotarius, BCBA, LBA

  • Behavior Analyst
  • Portland, OR
  • NPI 1376184374
  NPD
• Brittney Ellingson, BCBA

  • Behavior Analyst
  • Murray, UT
  • NPI 1033502315
  NPD
• Courtney Renee Tolley

  • Behavior Analyst
  • Portland, OR
  • NPI 1346960242
  NPD (past)

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1265013684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15585 NW BARKTON ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 SW OLESON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237474",
            "telephone_number": "971-804-0276",
            "fax_number": "503-296-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ESTUARY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-08-12",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "971-804-0276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500816468",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@theestuarycenter.org",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7475 SW Oleson Rd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972237474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.