Anthony Rene Soto

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

22-06-10438 Issued in OR

Practice address

17882 SE McLoughlin Blvd
Milwaukie, OR 97267-6103

Phone

(503) 353-9415

Fax

(503) 353-9409

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Integrated Health Clinics NE LLC

  • Methadone Clinic
  • Portland, OR
  • NPI 1851808562
  NPD (past)
• Integrated Health Clinics, LLC

  • Methadone Clinic
  • Milwaukie, OR
  • NPI 1366506073
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447857164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17882 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676103",
            "telephone_number": "503-353-9415",
            "fax_number": "503-353-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17882 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676103",
            "telephone_number": "503-353-9415",
            "fax_number": "503-353-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ANTHONY",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "22-06-10438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Song
• Kelly L Soria, COTA/L
• Wendy Lizbeth Soriano-Valencia
• Fritzie Cristobal Soriano, PHYSICAL THERAPIST
• Linda Wong Soriano, PTA
• Soul to Soul Ihca
• Jennifer Lynn Sousley, PTA
• Jason Southmayd, R.N.
• Ronald Lee Spangler, MD
• Linda Eileen Speizer, PHYSICAL THERAPIST

• Addiction (Substance Use Disorder) Counselor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.