Educational Training Program Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EDUCATIONAL TRAINING PROGRAM INC.

Practice address

15420 Forsythe Rd
Oregon City, OR 97045-8742

Phone

(541) 915-6766

Fax

(503) 723-9964

NPI assigned

Mar 30, 2014

Organization subpart

Yes

Parent organization

EDUCATIONAL TRAINING PROGRAM INC.As reported in NPPES

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

Authorized official

Name

Mr. Kambiz Ghasedi

Title

President

Phone

(541) 915-6766

Specialties & licenses 1

Addresses

Part of

Educational Training Program Inc

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396137600000",
    "number": "1417375270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970450069",
            "telephone_number": "541-915-6766",
            "fax_number": "503-723-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 FORSYTHE RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458742",
            "telephone_number": "541-915-6766",
            "fax_number": "503-723-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL TRAINING PROGRAM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDUCATIONAL TRAINING PROGRAM INC.",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A",
        "authorized_official_last_name": "GHASEDI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-915-6766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; 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.