Portland Iop, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PORTLAND IOP, LLC

Practice address

2675 NW Thurman St
Portland, OR 97210-2202

Phone

(503) 825-7046

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Milton Parham

Title

Executive Director

Phone

(509) 668-8008

Specialties & licenses 1

Addresses

Tax ID family

Klean Gresham2 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.

• Portland Iop, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1669856571
  NPD tax ID

Locations

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1912397977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102202",
            "telephone_number": "503-825-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102202",
            "telephone_number": "503-825-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND IOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "PARHAM",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-668-8008"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Injury &Rehab Center
• Portland Insight Psychotherapy
• Portland Integrative Counseling Center
• Portland Internal Medicine Offices of James V. Skavaril MD LLC
• Portland Iop, LLC
• Portland Joint Reconstruction Clinic, P.C.
• Portland Lifestyle Counseling, LLC
• Portland Massage and Chiropractic Services LLC
• Portland Massage Arts LLC
• Portland Massage LLC

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.