Rivers Way Training Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVERS WAY TRAINING CLINIC

Practice address

2049 NW Hoyt
Portland, OR 97209

Phone

(503) 321-5127

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Reiss, LCSW, PHDNPI 1588719595

Title

Direrctor

Phone

(541) 206-0964

Specialties & licenses 1

Addresses

Tax ID family

Rivers Way Training Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• River's Way Community Clinic

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1326402652
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Neal Reiss, LCSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1588719595
  NPD (past) Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1619599636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W 17TH",
            "city": "EUGENA",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-8060",
            "fax_number": "541-687-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 NW HOYT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-321-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS WAY TRAINING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRERCTOR",
        "authorized_official_telephone_number": "541-206-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Rivera
• Sarah S Rivera, PSS
• Sophie Rivera
• Zuleika Rivera
• Marcela Riveros Angel, MD
• Henry Rivers
• Lisa A Rivers, CADC II
• Orentheo Rivers
• Pamela M Rivers, M.A.
• Riverstone Behavioral Wellness LLC

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.