Optumcare Portland LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OPTUMCARE PORTLAND LLC

Practice address

9450 SW Barnes Rd Ste 100
Portland, OR 97225

Phone

(503) 292-9560

Fax

(503) 292-9510

NPI assigned

Mar 21, 2007

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Castillo

Title

Revenue Cycle Manager

Phone

(503) 384-2027

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1710003140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256642",
            "telephone_number": "503-292-9560",
            "fax_number": "503-292-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-292-9560",
            "fax_number": "503-292-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE Multnomah St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972324104",
            "country_code": "US",
            "telephone_number": "503-292-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUMCARE PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "503-384-2027"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "810029000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DA6538",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimus Mental Health Care PLLC
• Option Care at Legacy Health LLC (Option Care at Legacy Health)
• Option Care at Legacy Health LLC (Option Care At Legacy Health)
• James C Opton, MD
• Optum Behavioral Care of Colorado, P.C. (Awakened Heart Portland)
• Or MC Sprout 1 LLC (Elemy)
• Deborah Anne Orandon, LPC
• Orange Tree Mental Health
• Thomas Vincent Orazio, DMD
• Mark Orbay, ND

• General Practice Physician in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.