New Start Program

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NEW START PROGRAM

Practice address

12180 SE Market St
Portland, OR 97216-3923

Phone

(971) 279-4993

Fax

(971) 888-4626

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 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

Mr. Larry Carl Williams, CADC II

Title

Suds Counselor

Phone

(503) 789-2430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandy Mae Putnam, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1649662446
  NPD

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1952940298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 SE SPRINGWATER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972060662",
            "telephone_number": "503-789-2430",
            "fax_number": "971-888-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163923",
            "telephone_number": "971-279-4993",
            "fax_number": "971-888-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "SUDS COUNSELOR",
        "authorized_official_telephone_number": "503-789-2430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Pathway Enterprise Inc
• New Season
• New Season Market Pharmacy
• New Seasons Market Pharmacy
• New Spine Chiropractic
• New Vision Wellness Center LLC
• Patricia New, RN
• Eric Daniel Newberg, LAC,LMT
• Matthew McNeill Newberry
• Brittany J Newcomb, LMT

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.