Active NPI
Lily H Dragon
- Behavior Technician
- Portland, OR
National Provider Identifier
1831715028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1827 NE 44TH Ave Ste 390
Portland, OR 97213-1461 - Phone
- (818) 219-7349
- NPI assigned
- Jun 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Technician | 106S00000X | OR | Primary |
Addresses
Primary practice location
1827 NE 44TH Ave Ste 390
Portland, OR 97213-1461
Mailing address
1531 SE 35TH PL
Portland, OR 97214-5112
Phone (818) 219-7349
Other practice location 1
9300 NE Oak View Dr
Vancouver, WA 98662-6157
Phone (360) 567-2211
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": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1831715028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 SE 35TH PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145112",
"telephone_number": "818-219-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 NE 44TH AVE STE 390",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131461",
"telephone_number": "818-219-7349"
}
],
"practiceLocations": [
{
"address_1": "9300 NE Oak View Dr",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626157",
"country_code": "US",
"telephone_number": "360-567-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAGON",
"first_name": "LILY",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"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 Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.