Active NPI
Edward (Ted) Dorrance Owen, MT-BC
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1922273598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9601 NW Leahy Rd
Apt 203
Portland, OR 97229-6382 - Phone
- (503) 957-7570
- NPI assigned
- Apr 24, 2008
- Last updated
- May 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9601 NW Leahy Rd
Apt 203
Portland, OR 97229-6382
Mailing address
9601 NW Leahy Rd
Apt 203
Portland, OR 97229-6382
Phone (503) 957-7570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1922273598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 NW LEAHY RD",
"address_2": "APT 203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972296382",
"telephone_number": "503-957-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 NW LEAHY RD",
"address_2": "APT 203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972296382",
"telephone_number": "503-957-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "EDWARD (TED)",
"middle_name": "DORRANCE",
"name_prefix": "Mr.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"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 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.