NPIMap

Organization Active NPI

Native American Rehabilitation Assoc Inc

Doing business as Nara NW-Gresha Outpatient Treatment & Recovery Services

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
National Provider Identifier
1558112276
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NATIVE AMERICAN REHABILITATION ASSOC INC
Doing business as
Nara NW-Gresha Outpatient Treatment & Recovery Services
Practice address
355 NW Division St
Gresham, OR 97030-5523
Phone
(503) 231-2641
Fax
(503) 231-1654
NPI assigned
Mar 29, 2024
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Ray Dunn
Title
Payroll & Workforce Comp. Director
Phone
(971) 288-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

355 NW Division St
Gresham, OR 97030-5523

Mailing address

PO Box 1569
Attention Credentialing
Portland, OR 97207-1569
Phone (503) 224-1044

Other identifiers 1

IdentifierTypeStateIssuer
126370MedicaidOR

Other names 2

  • NARA NW-GRESHA OUTPATIENT TREATMENT & RECOVERY SERVICES Doing business as
  • NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC. Other name

National Provider Directory

National Provider Directory
Tax ID family
Nara of the Northwest10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 SE Caruthers St
Portland, OR 97214
Phone (503) 224-1044

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1558112276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "address_2": "ATTENTION CREDENTIALING",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071569",
            "telephone_number": "503-224-1044",
            "fax_number": "971-260-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NW DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305523",
            "telephone_number": "503-231-2641",
            "fax_number": "503-231-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN REHABILITATION ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PAYROLL & WORKFORCE COMP. DIRECTOR",
        "authorized_official_telephone_number": "971-288-9121"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126370",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NARA NW-GRESHA OUTPATIENT TREATMENT & RECOVERY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.