Portland Iom, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PORTLAND IOM, LLC

Practice address

DC2 209 10TH Ave S
Suite 232
Nashville, TN 37203

Phone

(615) 712-9574

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Cook, PH.D., M.S.

Title

Ceo/President

Phone

(615) 522-1332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1508173204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE SOUTH",
            "address_2": "SUITE 232",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-712-9574",
            "fax_number": "615-730-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DC2 209 10TH AVE S",
            "address_2": "SUITE 232",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-712-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "615-522-1332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D., M.S."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Porterfield, FNP-BC
• Ronald Dean Porterfield Jr., LPC, MHSP
• Melissa Porterhouse
• Patricia Portilla, WHNP
• Shannon Portis, DNP, WHNP-BC
• Joseph Lee Portmann, PHARMD
• Bianca Abbott Posada, FNP-BC
• Positive Behavior Support
• Positive Pathways Counseling PLLC
• Oksana Posnik, M.D.

• Medical Specialty Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.