Justin C Powell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

326 SE Marlin Ave
Warrenton, OR 97146-9624

Phone

(503) 325-5722

Fax

(503) 861-2043

NPI assigned

Sep 21, 2017

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clatsop Behavioral Healthcare

  • Mental Illness Community Based Residential Treatment Facility
  • Warrenton, OR
  • NPI 1760833313
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2017.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1659880607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SE MARLIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469624",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami L Perry
• Stephanie Grace Peterson
• Madeline Suzanne Pitts
• Carin Kay Pluedeman, MD
• Anne Plum
• Rebecca Prichard
• Providence Health & Services Oregon
• Radiant Care Afh 'LLC'
• Radiant Care Afh LLC
• Claire Margaret Reilly, PA-C

• All providers in Warrenton, OR
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.