Active NPI
Innovations by 333 Corp
- Child Intellectual and/or Developmental Disabilities Respite Care
- Beaverton, OR
National Provider Identifier
1639876360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- INNOVATIONS BY 333 CORP
- Practice address
- 4000 SW Orbit St Unit 213
Beaverton, OR 97005-2063 - Phone
- (720) 891-8127
- Fax
- (866) 374-0253
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Read IV
- Title
- Ceo
- Phone
- (720) 891-8127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
4000 SW Orbit St Unit 213
Beaverton, OR 97005-2063
Mailing address
922 NW Circle Blvd Ste 160-333
Corvallis, OR 97330-1483
Phone (720) 891-8127
Other names 1
- READ AUTISM RESEARCH & EDUCATION CORP
National Provider Directory
National Provider DirectoryLocations
922 NW Circle Blvd
Ste 160333
Corvallis, OR 97330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1639876360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 NW CIRCLE BLVD STE 160-333",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301483",
"telephone_number": "720-891-8127",
"fax_number": "866-374-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 SW ORBIT ST UNIT 213",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052063",
"telephone_number": "720-891-8127",
"fax_number": "866-374-0253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIONS BY 333 CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "READ",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-891-8127",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "READ AUTISM RESEARCH & EDUCATION CORP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.