Active NPI
Christian Apostolic Community House
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1487015442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 15-CRM-136
- Legal business name
- CHRISTIAN APOSTOLIC COMMUNITY HOUSE
- Practice address
- 13232 SE Stark St
Suite 4
Portland, OR 97233-1573 - Phone
- (971) 282-6049
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mischelle Renee Plunkett, CRM, TRAD.HEALTH WKR
- Title
- Own/Founder/Mentor
- Phone
- (971) 282-6049
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | THW0298 | OR | |
| Community/Behavioral Health Agency | 251S00000X | 15-CRM-136 | OR | Primary |
Addresses
Primary practice location
13232 SE Stark St
Suite 4
Portland, OR 97233-1573
Mailing address
13232 SE Stark St
Suite 4
Portland, OR 97233-1573
Phone (971) 282-6049
Other names 1
- CACH Services
National Provider Directory
National Provider DirectoryLocations
13232 SE Stark St
Ste 4
Portland, OR 97233
Phone (503) 408-7578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458172800000",
"number": "1487015442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13232 SE STARK ST",
"address_2": "SUITE 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331573",
"telephone_number": "971-282-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13232 SE STARK ST",
"address_2": "SUITE 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331573",
"telephone_number": "971-282-6049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN APOSTOLIC COMMUNITY HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A",
"authorized_official_last_name": "PLUNKETT",
"authorized_official_first_name": "MISCHELLE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWN/FOUNDER/MENTOR",
"authorized_official_telephone_number": "971-282-6049",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRM, TRAD.HEALTH WKR"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "OR",
"license": "THW0298",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "15-CRM-136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CACH Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
- Roseanne Marie Christensen, PSY.D.
- Samuel M. K. Christensen, PA-C
- Scott E. Christensen, PT, MPT, OCS
- Janette Romero Christenson
- Michael Christenson, PH.D.
- Susan Elizabeth Christian Barrios, LCSW
- Christian Treatment Center for Attachment Trauma and Sexual Add LLC
- Allie Christian
- Daniel Christian, PHARMD
- Janis Christian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.