Active NPI
Oregon Youth Authority
- Case Management Agency
- Salem, OR
National Provider Identifier
1376355982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Salem, OR
- NPI 1265866305
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.