River's Way Community Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVER'S WAY COMMUNITY CLINIC

Practice address

2049 NW Hoyt St
Portland, OR 97209-1260

Phone

(503) 223-8188

Fax

(503) 227-7003

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PROCESS WORK INSTITUTEAs reported in NPPES

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

Authorized official

Name

Gary Reiss, PHD

Title

Director

Phone

(503) 223-8188

Specialties & licenses 1

Addresses

Tax ID family

Rivers Way Training Clinic2 organizations share this tax ID, including this one

Part of

Rivers Way Training Clinic

Other organizations with this tax ID 1

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

• Rivers Way Training Clinic

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1619599636
  NPD tax ID

Locations

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1326402652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 NW HOYT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091260",
            "telephone_number": "503-223-8188",
            "fax_number": "503-227-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 NW HOYT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091260",
            "telephone_number": "503-223-8188",
            "fax_number": "503-227-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S WAY COMMUNITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCESS WORK INSTITUTE",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-223-8188",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainer Quinn Catkin Rivenburgh, MAAT, ATR-BC, LPC
• River Breeze Home Care LLC (Luo)
• River Breeze LLC (River Breeze Home Care LLC)
• River Family Health
• River Medical Clinic PC (Gregory V.S. Camp, MD)
• Karina Rivera Estrella
• Maria Teresa Rivera Garcia, PHD, MSC, QMHP
• Karla Rivera-Salgado
• Pablo Armando Rivera-Sanchez, MSW
• Annette Iris Rivera

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.