Organization Active NPI

Lifeworks NW

  • Case Management Agency
  • Beaverton, OR
National Provider Identifier
1306117395
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFEWORKS NW
Practice address
12350 SW 5TH St
Beaverton, OR 97005-2819
Phone
(503) 627-9194
Fax
(503) 690-9805
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Jocelyn Lovenburg
Title
HR Specialist
Phone
(503) 845-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X OR Primary

Addresses

Primary practice location

12350 SW 5TH St
Beaverton, OR 97005-2819

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581

National Provider Directory

National Provider Directory

Locations

12350 SW 5th St
Beaverton, OR 97005
Phone (503) 627-9194

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1306117395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442",
            "telephone_number": "503-645-3581",
            "fax_number": "503-690-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 SW 5TH ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052819",
            "telephone_number": "503-627-9194",
            "fax_number": "503-690-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "LOVENBURG",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "503-845-3581"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.