Individual provider Active NPI

Valerian Ray Harris

  • Home Health Aide
  • Portland, OR
National Provider Identifier
1396477741
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1225 NW Murray Rd Ste 101
Portland, OR 97229-5572
Phone
(503) 643-2010
NPI assigned
Jun 25, 2022
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

1225 NW Murray Rd Ste 101
Portland, OR 97229-5572

Mailing address

8414 SE 13TH Ave
Portland, OR 97202-7104
Phone (907) 232-9203

Other names 1

  • Lily Valentina Depuy-Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vandmark LLC Dba Comfort Keepers CurrentSince Mar 31, 2024 Accepting new patients
Telecare Mental Health Services of Oregon, Inc. PastSince Jul 1, 2022 Accepting new patients
Bahandi Inc. Dba Comfort Keepers PastSince Mar 31, 2024 Accepting new patients

Locations

1225 NW Murray Rd
Ste 101
Portland, OR 97229
Phone (503) 643-2010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1396477741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027104",
            "telephone_number": "907-232-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NW MURRAY RD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295572",
            "telephone_number": "503-643-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VALERIAN",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-25",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "DEPUY-HARRIS",
            "middle_name": "VALENTINA",
            "code": "1",
            "type": "Former 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 Mar 24, 2024; 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.