Midstream

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5721 Issued in OR

Legal business name

MIDSTREAM

Practice address

1020 SW Taylor St
Suite 400
Portland, OR 97205-2543

Phone

(503) 715-0910

Fax

(503) 715-0911

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Tara Crowley, LCSW

Title

Office Manager

Phone

(503) 715-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portland Trauma Recovery Doing business as

Locations

Practitioners 1

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

• Lisa Smith, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1487972741
  NPD

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1285989822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-715-0910",
            "fax_number": "503-715-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-715-0910",
            "fax_number": "503-715-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTREAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-715-0910",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649487",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Trauma Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midland Dental LLC
• Midland Family Dentistry
• Midland Family Dentistry PC
• Oleander Midnight
• Midori Ferris Wayne Psychotherapy LLC
• Midway Medical Transportation LLC
• Kristine Midyett, LCSW
• Guillermo Mier
• Victoria Grace Miers
• Melissa Jo Miesen, L AC., LMT.

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.