Active NPI
Project Dove
- Case Manager/Care Coordinator
- Ontario, OR
National Provider Identifier
1295051126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- PROJECT DOVE
- Practice address
- 915-02 SW 2ND Ave
Ontario, OR 97914 - Phone
- (541) 881-0153
- Fax
- (541) 889-2416
- NPI assigned
- Apr 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debbie J Blackaby
- Title
- President of Board of Directors
- Phone
- (541) 889-8693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OR | Primary |
Addresses
Primary practice location
915-02 SW 2ND Ave
Ontario, OR 97914
Mailing address
585 NW 1St St
P O Box 980
Ontario, OR 97914-1701
Phone (541) 889-6316
Other names 1
- Star Center
National Provider Directory
National Provider DirectoryLocations
585 NW 1st St
Ontario, OR 97914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271376000000",
"number": "1295051126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 NW 1ST ST",
"address_2": "P O BOX 980",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141701",
"telephone_number": "541-889-6316",
"fax_number": "541-889-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915-02 SW 2ND AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "97914",
"telephone_number": "541-881-0153",
"fax_number": "541-889-2416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT DOVE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-16",
"last_updated": "2010-04-16",
"status": "A",
"authorized_official_last_name": "BLACKABY",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
"authorized_official_telephone_number": "541-889-8693",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.