Serenity House Call

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SERENITY HOUSE CALL

Practice address

6975 SW Sandburg St
Suite #190
Portland, OR 97223-8073

Phone

(503) 639-3322

Fax

(888) 883-6139

NPI assigned

Mar 25, 2010

Last updated

May 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Richard Jensen, FNP

Title

President

Phone

(503) 639-3322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1932423472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 SW SANDBURG ST",
            "address_2": "SUITE #190",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238073",
            "telephone_number": "503-639-3322",
            "fax_number": "888-883-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 SW SANDBURG ST",
            "address_2": "SUITE #190",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238073",
            "telephone_number": "503-639-3322",
            "fax_number": "888-883-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE CALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-639-3322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Susan Serdar, PT
• Kasey Serdar, PH.D.
• Serendipity Center Inc
• Serene Care Inc.
• Serenity Counseling and Wellness
• Serenity Path LLC
• Serenity Ridge Care Corporation
• Evan Robert Serfass, MD
• Leo A.H. Sergeant, PT, COMT
• Alexandra Sergeeva, LCSW

• Primary Care Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.