Portland Compassionate Care Consulting

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

PORTLAND COMPASSIONATE CARE CONSULTING

Practice address

920 SW 6TH Ave
Portland, OR 97204-1239

Phone

(503) 714-7976

Fax

(503) 506-6472

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Adonis-Lee Johnson, PSS

Title

Owner/Office Manager

Phone

(503) 714-7976

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Adonis Lee Robbinson, NREMT, PSS

  • Basic Emergency Medical Technician
  • Clackamas, OR
  • NPI 1245997188

  Peer Specialist

  NPD

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1326736083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 SW 4TH AVE APT 617",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041239",
            "telephone_number": "503-714-7976",
            "fax_number": "503-506-6472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 NE Holladay St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322104",
            "country_code": "US",
            "telephone_number": "503-714-7976",
            "fax_number": "503-506-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PORTLAND COMPASSIONATE CARE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "ADONIS-LEE",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "503-714-7976",
        "authorized_official_credential": "PSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portland Clinic
• Portland Community Counseling LLC
• Portland Compounding Pharmacy LLC (Lloyd Center Pharmacy)
• Portland Dart Schools
• Portland DBT Institute, Inc. (Portland DBT Institute of Salem)
• Portland Dental and Naturopathic Clinic
• Portland Dental Associates PC (Teamsters Dental Center)

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.