Organization Active NPI

Oregon Youth Authority

  • Case Management Agency
  • Salem, OR
National Provider Identifier
1376355982
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OREGON YOUTH AUTHORITY
Practice address
2001 Front St NE Ste 110
Salem, OR 97301-0791
Phone
(503) 378-6804
Fax
(503) 378-5882
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Joseph O'Leary
Title
Director
Phone
(971) 701-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2001 Front St NE Ste 110
Salem, OR 97301-0791

Mailing address

530 Center St NE Ste 500
Salem, OR 97301-3777
Phone (503) 569-2636

National Provider Directory

National Provider Directory

Locations

2001 Front St NE
Ste 110
Salem, OR 97301
Phone (503) 378-6804

530 Center St NE
Ste 500
Salem, OR 97301

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1376355982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CENTER ST NE STE 500",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013777",
            "telephone_number": "503-569-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 FRONT ST NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010791",
            "telephone_number": "503-378-6804",
            "fax_number": "503-378-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON YOUTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "971-701-1047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.