NPIMap

Organization Active NPI

Judy Simonsen LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1831331487
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC00868 Issued in OR
Legal business name
JUDY SIMONSEN LLC
Practice address
819 SE Morrison St
Suite 120
Portland, OR 97214-6307
Phone
(503) 806-6184
Fax
(503) 445-7997
NPI assigned
Mar 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Authorized official

Name
Ms. Judith Marie Simonsen, LAC, PTNPI 1467535823
Title
President
Phone
(503) 806-6184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC00868 OR Primary
Physical Therapy Clinic/Center 261QP2000X 1668 OR

Addresses

Primary practice location

819 SE Morrison St
Suite 120
Portland, OR 97214-6307

Mailing address

819 SE Morrison St
Suite 120
Portland, OR 97214-6307
Phone (503) 806-6184

National Provider Directory

National Provider Directory

Locations

819 SE Morrison St
Ste 120
Portland, OR 97214
Phone (503) 445-7999

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1831331487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST",
            "address_2": "SUITE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146307",
            "telephone_number": "503-806-6184",
            "fax_number": "503-445-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST",
            "address_2": "SUITE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146307",
            "telephone_number": "503-806-6184",
            "fax_number": "503-445-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY SIMONSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-806-6184",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC, PT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC00868",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1668",
            "primary": false
        }
    ],
    "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 Mar 28, 2009; 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.