Organization Active NPI

Deut 1111

  • In Home Supportive Care Agency
  • Beaverton, OR
National Provider Identifier
1720940091
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEUT 1111
Practice address
10478 SW Mount Adams Dr
Beaverton, OR 97007-8379
Phone
(971) 762-3132
Fax
(971) 762-3132
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Tamara Alfonso
Title
Owner
Phone
(971) 762-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10478 SW Mount Adams Dr
Beaverton, OR 97007-8379

Mailing address

10478 SW Mount Adams Dr
Beaverton, OR 97007-8379
Phone (971) 762-3132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1720940091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10478 SW MOUNT ADAMS DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078379",
            "telephone_number": "971-762-3132",
            "fax_number": "971-762-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10478 SW MOUNT ADAMS DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078379",
            "telephone_number": "971-762-3132",
            "fax_number": "971-762-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEUT 1111",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-762-3132"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.