Active NPI
Albertina Kerr
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1891929568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALBERTINA KERR
- Practice address
- 722 NE 162ND Ave
Portland, OR 97230-5760 - Phone
- (503) 255-4205
- Fax
- (503) 777-6037
- NPI assigned
- May 11, 2009
- Last updated
- May 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Megan Gray Edlin
- Title
- Skills Trainer
- Phone
- (503) 255-4205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
722 NE 162ND Ave
Portland, OR 97230-5760
Mailing address
722 NE 162ND Ave
Portland, OR 97230-5760
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Social Worker
- Portland, OR
- NPI 1992987317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1891929568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 NE 162ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 NE 162ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305760",
"telephone_number": "503-255-4205",
"fax_number": "503-777-6037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTINA KERR",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "EDLIN",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "GRAY",
"authorized_official_title_or_position": "SKILLS TRAINER",
"authorized_official_telephone_number": "503-255-4205",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"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 May 11, 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.