Active NPI
Erik Michael Rasmusson
- Counselor
- Gresham, OR
National Provider Identifier
1962655407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 912 NE Kelly Ave
Gresham, OR 97030 - Phone
- (503) 258-4600
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 02944 | OR | |
| Case Manager/Care Coordinator | 171M00000X | 2221097 | OR | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
912 NE Kelly Ave
Gresham, OR 97030
Mailing address
912 NE Kelly Ave
Gresham, OR 97030-5629
Phone (503) 258-4600
Other practice location 1
1500 NE Irving St
Suite 250
Portland, OR 97232-2243
Phone (503) 233-4356
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02944 | OR | MD | Counselor |
| 2221097 | OR | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1962655407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 NE KELLY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305629",
"telephone_number": "503-258-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 NE KELLY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-258-4600"
}
],
"practiceLocations": [
{
"address_1": "1500 NE Irving St",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322243",
"country_code": "US",
"telephone_number": "503-233-4356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASMUSSON",
"first_name": "ERIK",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "02944",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": "2221097",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.