Organization Active NPI

Eudaemonia Equine Connections, Inc.

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1639876873
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EUDAEMONIA EQUINE CONNECTIONS, INC.
Practice address
1865 NW 169TH PL
#201
Portland, OR 97229
Phone
(503) 862-7906
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Rebecca Wara-Goss
Title
LMFT, P.H.D
Phone
(503) 862-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1865 NW 169TH PL
#201
Portland, OR 97229

Mailing address

1865 NW 169TH PL
#201
Portland, OR 97229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1639876873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL",
            "address_2": "#201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL",
            "address_2": "#201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-862-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDAEMONIA EQUINE CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WARA-GOSS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LMFT, P.H.D",
        "authorized_official_telephone_number": "503-862-7906"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Feb 8, 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.

Verify at the official NPI Registry.