Organization Active NPI

M3 Alliance LLC

  • Clinical Social Worker
  • Prineville, OR
National Provider Identifier
1508534785
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
M3 ALLIANCE LLC
Practice address
245 NW Harwood St
Prineville, OR 97754-1445
Phone
(541) 209-0017
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Authorized official

Name
Mrs. Hope M Porterfield, LCSWNPI 1720395809
Title
Owner/Provider
Phone
(541) 209-0017

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

245 NW Harwood St
Prineville, OR 97754-1445

Mailing address

PO Box 178
Prineville, OR 97754-0178
Phone (541) 209-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000357 OR Part B Supplier - Clinic/Group Practice 9436541489 Receives reassigned benefits from 1 practitioner
Practice locations: Prineville, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635638400000",
    "number": "1508534785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977540178",
            "telephone_number": "541-209-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NW HARWOOD ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541445",
            "telephone_number": "541-209-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A",
        "authorized_official_last_name": "PORTERFIELD",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-209-0017",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.