NPIMap

Organization Active NPI

Outside in

  • Community/Behavioral Health Agency
  • Milwaukie, OR
National Provider Identifier
1629470257
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1041C0700X Issued in OR
Legal business name
OUTSIDE IN
Practice address
11300 SE 23Rd Ave
Milwaukie, OR 97222-7753
Phone
(503) 353-5847
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Lori Kelley
Title
Fiscal Manager
Phone
(503) 535-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1041C0700X OR Primary

Addresses

Primary practice location

11300 SE 23Rd Ave
Milwaukie, OR 97222-7753

Mailing address

1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3800

National Provider Directory

National Provider Directory
Tax ID family
Outside in10 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.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1629470257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051703",
            "telephone_number": "503-535-3800",
            "fax_number": "503-223-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 SE 23RD AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227753",
            "telephone_number": "503-353-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "503-535-3882"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.