Active NPI
Linnea Blank
- Adult Companion
- Portland, OR
National Provider Identifier
1770995292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 3909 SE 70TH Ave
Portland, OR 97206-2525 - Phone
- (503) 777-2278
- NPI assigned
- Jun 2, 2014
- Last updated
- Jun 2, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary |
Addresses
Primary practice location
3909 SE 70TH Ave
Portland, OR 97206-2525
Mailing address
340 Terrell Rd
San Antonio, TX 78209-5918
Phone (210) 323-3055
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1770995292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 TERRELL RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095918",
"telephone_number": "210-323-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 SE 70TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062525",
"telephone_number": "503-777-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "LINNEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"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 Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.