Active NPI
Caring for Portland LLC
- In Home Supportive Care Agency
- Beaverton, OR
National Provider Identifier
1902270671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 15-2306
- Legal business name
- CARING FOR PORTLAND LLC
- Practice address
- 4800 SW Griffith Dr #215
Beaverton, OR 97005 - Phone
- (503) 836-3909
- Fax
- (866) 727-4991
- NPI assigned
- Nov 18, 2015
- 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
- Adrian J Siegmann
- Title
- Owner/Ceo
- Phone
- (503) 290-6676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 15-2306 | OR | Primary |
Addresses
Primary practice location
4800 SW Griffith Dr #215
Beaverton, OR 97005
Mailing address
2659 SW 4TH St, Ste 102
Redmond, OR 97756
Phone (541) 238-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 526375 | Medicaid | OR |
Other names 1
- CARING FOR PORTLAND
National Provider Directory
National Provider Directory- Tax ID family
- Caring for Portland
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Warrenton, OR
- NPI 1366032823
Locations
4800 SW Griffith Dr
Ste 215
Beaverton, OR 97005
Phone (503) 836-3909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1902270671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2659 SW 4TH ST, STE 102",
"city": "REDMOND",
"state": "OR",
"postal_code": "97756",
"telephone_number": "541-238-7500",
"fax_number": "866-727-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SW GRIFFITH DR #215",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "503-836-3909",
"fax_number": "866-727-4991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING FOR PORTLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2023-10-12",
"status": "A",
"authorized_official_last_name": "SIEGMANN",
"authorized_official_first_name": "ADRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "503-290-6676"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OR",
"license": "15-2306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "526375",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CARING FOR PORTLAND",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.