Organization Active NPI

Denison Clinical Associates

  • Adult Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1265674022
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
DENISON CLINICAL ASSOCIATES
Practice address
22115 NW Imbrie Dr
Suite 120
Hillsboro, OR 97124-6988
Phone
(503) 647-7522
Fax
(503) 647-7522
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Shelley Denison, MS, ANP
Title
Owner/Member
Phone
(503) 647-7522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

22115 NW Imbrie Dr
Suite 120
Hillsboro, OR 97124-6988

Mailing address

22115 NW Imbrie Dr
Suite 120
Hillsboro, OR 97124-6988
Phone (503) 647-7522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1265674022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22115 NW IMBRIE DR",
            "address_2": "SUITE 120",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246988",
            "telephone_number": "503-647-7522",
            "fax_number": "503-647-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22115 NW IMBRIE DR",
            "address_2": "SUITE 120",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246988",
            "telephone_number": "503-647-7522",
            "fax_number": "503-647-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISON CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "DENISON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "503-647-7522",
        "authorized_official_credential": "MS, ANP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.