NPIMap

Organization Active NPI

Changepoint, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Beaverton, OR
National Provider Identifier
1851835722
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
15-03-12 Issued in OR
Legal business name
CHANGEPOINT, INC
Practice address
1700 NW 167TH Place
Suite 240
Beaverton, OR 97006
Phone
(503) 350-2758
Fax
(503) 350-1790
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Juan Hernandez Perez, CADCI
Title
Substance Use Disorder Counselor
Phone
(503) 352-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 15-03-12 OR Primary

Addresses

Primary practice location

1700 NW 167TH Place
Suite 240
Beaverton, OR 97006

Mailing address

1700 NW Place
Suite 240
Beaverton, OR 97006
Phone (503) 350-2758

National Provider Directory

National Provider Directory
Tax ID family
Changepoint Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1700 NW 167th Pl
Ste 240
Beaverton, OR 97006
Phone (503) 350-2758

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1851835722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW PLACE",
            "address_2": "SUITE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-350-2758",
            "fax_number": "503-350-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 167TH PLACE",
            "address_2": "SUITE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-350-2758",
            "fax_number": "503-350-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEPOINT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "SUBSTANCE USE DISORDER COUNSELOR",
        "authorized_official_telephone_number": "503-352-8261",
        "authorized_official_credential": "CADCI"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": "15-03-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.