NPIMap

Organization Active NPI

Stonesoup HRC

Doing business as Street Leaves

  • Community Health Worker
  • Portland, OR
National Provider Identifier
1356194732
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
STONESOUP HRC
Doing business as
Street Leaves
Practice address
1235 SE Oak St Apt 2
Portland, OR 97214-1498
Phone
(541) 231-5597
NPI assigned
Apr 8, 2024
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Matthew PetersonNPI 1780527267
Title
Ed
Phone
(541) 231-5597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1235 SE Oak St Apt 2
Portland, OR 97214-1498

Mailing address

3439 NE Sandy Blvd
PMB 201
Portland, OR 97232-1959

Other practice location 1

400 SE 12th Ave
Portland, OR 97214-1323
Phone (503) 272-1497

Other names 2

  • Street Leaves Doing business as
  • Stonesoup HRC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1356194732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE OAK ST APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141498",
            "telephone_number": "541-231-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SE 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141323",
            "country_code": "US",
            "telephone_number": "503-272-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STONESOUP HRC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "541-231-5597"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Street Leaves",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonesoup HRC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.