NPIMap

Organization Active NPI

Native American Rehabilitation Assoc Inc

Doing business as Nara NW-Riverhouse

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1851380828
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
440955 Issued in OR
Legal business name
NATIVE AMERICAN REHABILITATION ASSOC INC
Doing business as
Nara NW-Riverhouse
Practice address
211 SE Caruthers St
Portland, OR 97214-4502
Phone
(503) 224-1044
Fax
(971) 260-0355
NPI assigned
Oct 20, 2005
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Mr. Ray Dunn
Title
Payroll & Workforce Comp. Director
Phone
(971) 288-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 440955 OR Primary

Addresses

Primary practice location

211 SE Caruthers St
Portland, OR 97214-4502

Mailing address

PO Box 1569
Attention Credentialing
Portland, OR 97207-1569
Phone (503) 224-1044

Other identifiers 1

IdentifierTypeStateIssuer
126370MedicaidOR

Other names 2

  • NARA NW-RIVERHOUSE Doing business as
  • NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310001435 OR Part B Supplier - Clinic/Group Practice 2668361585 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Gresham, OR
O20040921000266 OR Part A Provider - Federally Qualified Health Center (FQHC) 2668361585 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851380828. Details of each certification follow.

Federally qualified health center certification: CCN 381877

Legal name
NATIVE AMERICAN REHABILITATION ASSOC INC
Doing business as
NARA NW-MADISON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 24, 2004
Last certification
Nov 24, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 11, 1970 in OR
Enrollment address
1776 SW Madison St
Portland, OR 97205-1715

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nara NW Indian Health C10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Norrine Smokey Smith Individual Corporate OfficerSecretary Jan 1, 2011
Yolanda Moisa Individual Corporate OfficerChief Operations Officer Sep 13, 2021 50%
W-2 Managing EmployeeChief Operations Officer Sep 13, 2021 50%
Jacqueline Mercer Individual Corporate DirectorChief Executive Officer Jan 1, 2001 50%
Cheryl Bittle Individual Corporate OfficerVice President Jan 1, 2009
Karen Wheeler Individual Corporate OfficerBoard Member Jan 1, 2019

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nara NWPortland, OR, CCN 381921 Federally qualified health center Operational/Managerial Control Jun 20, 1998
Nara NWPortland, OR, CCN 381880 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Nara NW-Gresham YrtcGresham, OR, CCN 931000 Federally qualified health center Operational/Managerial Control
Other		 Oct 2, 2017
Oct 2, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1851380828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "address_2": "ATTENTION CREDENTIALING",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071569",
            "telephone_number": "503-224-1044",
            "fax_number": "971-260-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144502",
            "telephone_number": "503-224-1044",
            "fax_number": "971-260-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN REHABILITATION ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PAYROLL & WORKFORCE COMP. DIRECTOR",
        "authorized_official_telephone_number": "971-288-9121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OR",
            "license": "440955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126370",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NARA NW-RIVERHOUSE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.