Clatsop County Child Abuse Assessment Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER

Doing business as

The Lighthouse for Kids

Practice address

1230 Marine Dr
Suite 301
Astoria, OR 97103-4059

Phone

(503) 325-4977

Fax

(503) 325-4765

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By 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

Mrs. Sarah D Alsbury

Title

Billing

Phone

(503) 325-4977

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Lighthouse for Kids Doing business as

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942323480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MARINE DR",
            "address_2": "SUITE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034059",
            "telephone_number": "503-325-4977",
            "fax_number": "503-325-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MARINE DR",
            "address_2": "SUITE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034059",
            "telephone_number": "503-325-4977",
            "fax_number": "503-325-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALSBURY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "503-325-4977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lighthouse for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Christianson
• Gina Shae Clary, BEHAVIOR TECHNICIAN
• Clatsop Care Center Health District
• Clatsop County (Clatsop County Health & Human Services)
• Clatsop County (Clatsop County Health & Human Services)
• Kent C Clawson
• Coastal Eye Care LLC
• Coastal Family Health Center
• April Cockcroft
• Blailr Cocking, OTRL, CHT

• Clinic/Center in Astoria, OR
• Providers in Astoria, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.