Cultivate Portland LLP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

254954 Issued in OR

Legal business name

CULTIVATE PORTLAND LLP

Practice address

2827 NE M L King Jr Blvd
Portland, OR 97212-3039

Phone

(503) 928-8775

Fax

(503) 282-1559

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Benjamin Pray

Title

Program Manager

Phone

(503) 928-8775

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1730409244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 NE M L KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 NE M L KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123039",
            "telephone_number": "503-928-8775",
            "fax_number": "503-282-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE PORTLAND LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PRAY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "503-928-8775"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "254954",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "256636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey R. Cullins, CSWA, MSW
• Anna Cullop
• Rachel Elizabeth Culmo, MSN, AGPCNP-BC
• Josie Elise Culp
• Stephanie Lenore Culps, CRM/PSS
• Cultivate Therapy
• Cultivating a New Life LLC
• Amber R. Culver, LCSW
• Brinn Culver
• Stephanie Culver, N.D.

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.