Oregon Community Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

OREGON COMMUNITY CARE LLC

Doing business as

Oregon Community Care

Practice address

80 SE Madison St Ste 242
Portland, OR 97214-4527

Phone

(443) 585-0187

NPI assigned

Nov 2, 2023

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Evans

Title

Psy.D

Phone

(971) 242-4194

Specialties & licenses 2

Addresses

Other names 1

• Oregon Community Care Doing business as

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1821861659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 242",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "971-242-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 242",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "443-585-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSY.D",
        "authorized_official_telephone_number": "971-242-4194"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Community Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.