Active NPI
Lakendera Scott
- Peer Specialist
- Portland, OR
National Provider Identifier
1487535225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 209 SW 4TH Ave Ste 520
Portland, OR 97204-1825 - Phone
- (503) 988-2701
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OR | Primary |
Addresses
Primary practice location
209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Mailing address
3420 Edward Dr SE
Salem, OR 97302-2621
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": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1487535225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 EDWARD DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SW 4TH AVE STE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041825",
"telephone_number": "503-988-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LAKENDERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.