Organization Active NPI

Meadowlark Community Services

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1558615609
Registry record updated Oct 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1509120-4 Issued in OR
Legal business name
MEADOWLARK COMMUNITY SERVICES
Practice address
2324 SE Caruthers St
Portland, OR 97214-5520
Phone
(503) 901-9034
NPI assigned
Oct 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2012

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

Authorized official

Name
Mr. Robert G Rankin, MSW, QMHP, CSWA
Title
Chair 2
Phone
(503) 901-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1509120-4 OR Primary

Addresses

Primary practice location

2324 SE Caruthers St
Portland, OR 97214-5520

Mailing address

2324 SE Caruthers St
Portland, OR 97214-5520
Phone (503) 901-9034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351296000000",
    "number": "1558615609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145520",
            "telephone_number": "503-901-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145520",
            "telephone_number": "503-901-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-27",
        "last_updated": "2012-10-27",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIR 2",
        "authorized_official_telephone_number": "503-901-9034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, QMHP, CSWA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1509120-4",
            "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 Oct 27, 2012; 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.