Active NPI
Linda Patterson
- Behavior Technician
- Portland, OR
National Provider Identifier
1487293353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1334 NE 108TH Ave Apt 10
Portland, OR 97220-3076 - Phone
- (503) 490-4708
- NPI assigned
- Dec 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1334 NE 108TH Ave Apt 10
Portland, OR 97220-3076
Mailing address
125 NE 102ND Ave
Portland, OR 97220-4166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LG900T7T | Other | OREGON HEALTH SHARE |
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": "1577145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1487293353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 NE 108TH AVE APT 10",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203076",
"telephone_number": "503-490-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-24",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH SHARE",
"identifier": "LG900T7T",
"state": null
}
],
"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 Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.