Organization Active NPI

Emerson House

  • Alzheimer Center (Dementia Center)
  • Portland, OR
National Provider Identifier
1730369349
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
1364583313 Issued in OR
Legal business name
EMERSON HOUSE
Practice address
3577 SE Division St
Portland, OR 97202-1561
Phone
(503) 234-8585
Fax
(503) 234-8535
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Mrs. Linda Thomas
Title
Administrator
Phone
(503) 234-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 1364583313 OR Primary

Addresses

Primary practice location

3577 SE Division St
Portland, OR 97202-1561

Mailing address

3577 SE Division St
Portland, OR 97202-1561
Phone (503) 234-8585

National Provider Directory

National Provider Directory

Locations

3577 SE Division St
Portland, OR 97202
Phone (503) 234-8585

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1730369349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021561",
            "telephone_number": "503-234-8585",
            "fax_number": "503-234-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021561",
            "telephone_number": "503-234-8585",
            "fax_number": "503-234-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-234-8585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OR",
            "license": "1364583313",
            "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 Nov 12, 2007; 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.