Northeast Oregon Community Partnership

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

NORTHEAST OREGON COMMUNITY PARTNERSHIP

Practice address

1101 I Ave
La Grande, OR 97850-2043

Phone

(541) 962-0162

Fax

(541) 962-0119

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary A Goldstein, LCSWNPI 1407866213

Title

Executive Director

Phone

(541) 962-0162

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Mary A Goldstein, LCSW

  • Clinical Social Worker
  • La Grande, OR
  • NPI 1407866213
  Authorized official Same address or phone

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1376858092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 I AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502043",
            "telephone_number": "541-962-0162",
            "fax_number": "541-962-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 I AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502043",
            "telephone_number": "541-962-0162",
            "fax_number": "541-962-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OREGON COMMUNITY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-962-0162",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Newton, CRM
• Casey A Nichols, FNP
• Ryan Matthew Nielson, RPH
• Kayla Nixon, FNP
• Norco, Inc
• Northeast Oregon Physical Therapy
• Northeast Oregon Physical Therapy, LLC
• Northeast Oregon Physical Therapy, LLC
• Jessica G Norton, PMHNP
• Glenda Mae O'Connor, LAC

• Addiction Psychiatry Physician in La Grande, OR
• Providers in La Grande, OR by specialty
• Addiction Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.