Transformative Pathways PDX

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A4231 Issued in OR

Legal business name

TRANSFORMATIVE PATHWAYS PDX

Practice address

2951 NW Division St
Gresham, OR 97030-5292

Phone

(971) 401-3784

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Brandon Hardaway

Title

Owner

Phone

(971) 401-3784

Specialties & licenses 1

Addresses

Other names 1

• Brandon Hardaway Doing business as

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1336656982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305292",
            "telephone_number": "971-401-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE PATHWAYS PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-401-3784"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Hardaway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Social Worker in Gresham, OR
• Providers in Gresham, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.