Active NPI
Ronald Martin Swan, MS
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1578673380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- OR CO947
- Practice address
- 3550 N. Interstate Avenue
Portland, OR 97227-1043 - Phone
- (503) 285-9321
- Fax
- (503) 249-5508
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR CO947 | OR | Primary |
| Mental Health Counselor | 101YM0800X | WA LH00004068 | WA |
Addresses
Primary practice location
3550 N. Interstate Avenue
Portland, OR 97227-1043
Mailing address
3550 N Interstate Ave
Kaiser Permanente Interstate Medical Office E
Portland, OR 97227-1043
Phone (503) 249-5275
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR CO947 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| WA LH00004068 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1578673380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 N INTERSTATE AVE",
"address_2": "KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271043",
"telephone_number": "503-249-5275",
"fax_number": "503-249-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N. INTERSTATE AVENUE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271043",
"telephone_number": "503-285-9321",
"fax_number": "503-249-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "RONALD",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "OR CO947",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "WA LH00004068",
"primary": false
}
],
"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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.