Full Circle Community Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7605 Issued in OR

Legal business name

FULL CIRCLE COMMUNITY SERVICES

Practice address

4230 SE King Rd # 104
Portland, OR 97222-5259

Phone

(303) 564-0126

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Don Ernest Haiman, LCSW

Title

Social Worker/Therapist

Phone

(303) 564-0126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1427550375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 SE KING RD # 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972225259",
            "telephone_number": "303-564-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 SE KING RD # 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972225259",
            "telephone_number": "303-564-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "HAIMAN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "303-564-0126",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toshinori Fukuda, MD
• Jannelle Marie Fukuji, PA-C
• Summer Anne-Marie Fulcher
• Davia Fulford
• Deborah K Fulkerson, OT
• Full Circle Ecotherapy and Family Services LLC
• Full Moon Wellness and Consulting, LLC
• Full Spectrum Therapy LLC
• Bret Eugene Fuller, PH.D.
• Chelsey Marie Fuller

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.