R.E.a.P.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

R.E.A.P.

Practice address

10814 NE Halsey St
Portland, OR 97220-3047

Phone

(503) 688-2784

Fax

(971) 302-6649

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Edmond Deshawn Williams, MSWNPI 1750445557

Title

Clinical Supervisor

Phone

(503) 334-9955

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmond Deshawn Williams, MSW, QMHP

  • Clinical Social Worker
  • Portland, OR
  • NPI 1750445557
  NPD Authorized official
• Kailee MK Badua

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1568315877
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1750127429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203047",
            "telephone_number": "503-688-2784",
            "fax_number": "971-302-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203047",
            "telephone_number": "503-688-2784",
            "fax_number": "971-302-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.A.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "DESHAWN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "503-334-9955",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric D.C. Quon, PT
• Omar N Qutub, MD
• R Sterling Hodgson MD LLC
• Rocky R-Robinson
• R. M. Andrews & Associates LLC
• Kristin Ann Rabai, DC
• Devin Rabas, LCSW
• Bridgette Rabbidge, OTR
• Jay Rabe, LMT
• Kathia Rabelo

• Adolescent and Children Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adolescent and Children Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.