Active NPI
Cynthia Lopus
- Peer Specialist
- Portland, OR
National Provider Identifier
1417412412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PROFESSIONALLICENSE
- Practice address
- 17720 NE Halsey St Ste a
Portland, OR 97230-6771 - Phone
- (503) 654-7654
- Fax
- (503) 654-7333
- NPI assigned
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | PROFESSIONALLICENSE | Primary |
Addresses
Primary practice location
17720 NE Halsey St Ste a
Portland, OR 97230-6771
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1417412412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 HEATHROW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044004",
"telephone_number": "541-858-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 NE HALSEY ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306771",
"telephone_number": "503-654-7654",
"fax_number": "503-654-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPUS",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2024-09-23",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": "PROFESSIONALLICENSE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 23, 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.