Organization Active NPI

Carreon Health LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1487232385
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARREON HEALTH LLC
Practice address
1818 NE Irving St
Portland, OR 97232-2238
Phone
(503) 719-4827
Fax
(503) 719-6224
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Miguel D Carreon, FNP-CNPI 1285189530
Title
Owner
Phone
(971) 266-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1818 NE Irving St
Portland, OR 97232-2238

Mailing address

4230 SE King Rd
PMB 235
Milwaukie, OR 97222-5259
Phone (971) 266-3325

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2176004Carreon Health1818 NE Irving Street, Portland, OR 97232Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

1818 NE Irving St
Portland, OR 97232
Phone (503) 421-0092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1487232385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 SE KING RD",
            "address_2": "PMB 235",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225259",
            "telephone_number": "971-266-3325",
            "fax_number": "503-719-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322238",
            "telephone_number": "503-719-4827",
            "fax_number": "503-719-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARREON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-266-3325",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.