Active NPI
Lindsay Morris
- Substance Abuse Rehabilitation Facility
- Portland, OR
National Provider Identifier
1689115719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Practice address
- 4310 NE Killingsworth St
Portland, OR 97218-1404 - Phone
- (503) 535-1150
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4310 NE Killingsworth St
Portland, OR 97218-1404
Mailing address
233 NE 60TH Ave
Apt. 1
Portland, OR 97213-3767
Phone (901) 494-1293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1689115719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 NE 60TH AVE",
"address_2": "APT. 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133767",
"telephone_number": "901-494-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 NE KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972181404",
"telephone_number": "503-535-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "LINDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"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 Mar 8, 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.