Active NPI
Caleb Hassan
- Adult Companion
- Portland, OR
National Provider Identifier
1477085637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 847 NE 19TH Ave
Suite 100
Portland, OR 97232-2684 - Phone
- (503) 238-0769
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
847 NE 19TH Ave
Suite 100
Portland, OR 97232-2684
Mailing address
15605 SW Raphael LN
Tigard, OR 97224-3837
Phone (503) 268-2257
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": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1477085637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15605 SW RAPHAEL LN",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243837",
"telephone_number": "503-268-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322684",
"telephone_number": "503-238-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "CALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"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 Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.