St. Andrews Memory Care

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

ST. ANDREWS MEMORY CARE

Practice address

7617 SE Main St
Portland, OR 97215-3075

Phone

(503) 257-7946

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Deepak Israni

Title

General Manager

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Tax ID family

Pinecrest Senior Villa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinecrest Senior Villa

  • Alzheimer Center (Dementia Center)
  • Portland, OR
  • NPI 1679998447
  NPD tax ID

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1316362189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153075",
            "telephone_number": "503-257-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANDREWS MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth St Marie
• Jamie D St Mark, CRNA
• St Mary Health LLC
• Krysta St Michell, MEDICAL STUDENT
• Kelsey Jordan St. Amand, PA-C, MPH
• Jenna Lea St. Arnauld
• Leland St. Charles, PSY.D.
• Amanda St. Clair
• Valerie Ann St. Clair
• Luke St. John

• Alzheimer Center (Dementia Center) in Portland, OR
• Providers in Portland, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.