NPIMap

Organization Active NPI

Multnomah County School District 40

  • Early Intervention Provider Agency
  • Portland, OR
National Provider Identifier
1720416860
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MULTNOMAH COUNTY SCHOOL DISTRICT 40
Practice address
1500 SE 130TH Ave
Portland, OR 97233-1719
Phone
(503) 216-8212
Fax
(503) 261-8247
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Ms. Patt Komar
Title
Director
Phone
(503) 216-8211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1500 SE 130TH Ave
Portland, OR 97233-1719

Mailing address

1500 SE 130TH Ave
Portland, OR 97233-1719
Phone (503) 216-8212

Other names 1

  • DDSD - Multnomah Early Childhood Program Other name

National Provider Directory

National Provider Directory
Tax ID family
David Douglas School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 SE 130th Ave
Portland, OR 97233
Phone (503) 216-8212

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1720416860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE 130TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331719",
            "telephone_number": "503-216-8212",
            "fax_number": "503-261-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE 130TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331719",
            "telephone_number": "503-216-8212",
            "fax_number": "503-261-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY SCHOOL DISTRICT 40",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KOMAR",
        "authorized_official_first_name": "PATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-216-8211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDSD - Multnomah Early Childhood Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 29, 2013; 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.