Organization Active NPI

Northwest Lice Centers Inc

Doing business as Lice Clinics of America

  • Other Technician
  • Portland, OR
National Provider Identifier
1356881569
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
NORTHWEST LICE CENTERS INC
Doing business as
Lice Clinics of America
Practice address
5201 SW Westgate Dr
Suite 106
Portland, OR 97221-2412
Phone
(503) 404-0475
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Mark S Meyer
Title
President
Phone
(503) 724-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X OR Primary

Addresses

Primary practice location

5201 SW Westgate Dr
Suite 106
Portland, OR 97221-2412

Mailing address

PO Box 25829
Portland, OR 97298-0829
Phone (503) 404-0475

Other names 1

  • Lice Clinics of America Doing business as

National Provider Directory

National Provider Directory

Locations

5201 SW Westgate Dr
Ste 106
Portland, OR 97221
Phone (503) 404-0475

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1356881569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25829",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980829",
            "telephone_number": "503-404-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR",
            "address_2": "SUITE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212412",
            "telephone_number": "503-404-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LICE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-724-4204"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Clinics of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2017; 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.