Organization Active NPI

Project Dove

  • Case Manager/Care Coordinator
  • Ontario, OR
National Provider Identifier
1295051126
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Apr 16, 2010

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.