Active NPI
Ronald Eugene Last Jr., CDP-T
- Addiction (Substance Use Disorder) Counselor
- Port Angeles, WA
National Provider Identifier
1750853909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 60870731
- Practice address
- 221 N Race St
Port Angeles, WA 98362-3513 - Phone
- (360) 452-2442
- Fax
- (360) 452-2738
- NPI assigned
- Dec 28, 2018
- Last updated
- Dec 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 60870731 | WA | Primary |
Addresses
Primary practice location
221 N Race St
Port Angeles, WA 98362-3513
Mailing address
1321 Eckard Ave
Port Angeles, WA 98362-2785
Phone (360) 477-3749
Other practice location 1
494 S Forks Ave
Forks, WA 98331-9155
Phone (360) 374-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60870731 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1750853909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 ECKARD AVE",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622785",
"telephone_number": "360-477-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N RACE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623513",
"telephone_number": "360-452-2442",
"fax_number": "360-452-2738"
}
],
"practiceLocations": [
{
"address_1": "494 S Forks Ave",
"address_purpose": "LOCATION",
"city": "Forks",
"state": "WA",
"postal_code": "983319155",
"country_code": "US",
"telephone_number": "360-374-5109",
"fax_number": "360-374-5209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAST",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CDP-T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "60870731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.