Northwest Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHWEST FAMILY SERVICES

Practice address

6200 SE King Rd
Portland, OR 97222-2891

Phone

(503) 546-6377

Fax

(503) 546-9397

NPI assigned

Dec 15, 2006

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Fuller

Title

Executive Director

Phone

(503) 546-6377

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madx Omni Bedard, MSW, QMHP-R

  • Mental Health Counselor
  • Portland, OR
  • NPI 1811405707
  NPD (past)
• Mary Jedda

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukie, OR
  • NPI 1417849225
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1275695934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222891",
            "telephone_number": "503-546-6377",
            "fax_number": "503-546-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222891",
            "telephone_number": "503-546-6377",
            "fax_number": "503-546-9397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 E Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970308003",
            "country_code": "US",
            "telephone_number": "503-546-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6902 SE Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972672148",
            "country_code": "US",
            "telephone_number": "503-546-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-546-6377"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500679014",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500841490",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698281",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists, LLC
• Northwest Eye Associates LLC
• Northwest Family Acupuncture
• Northwest Family Mental Health Services LLC
• Northwest Foot & Ankle
• Northwest Forensic Institute
• Northwest Gastroenterology Clinic LLC
• Northwest Habilitation Services, LLC
• Northwest Heart Care LLC

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.