NPIMap

Organization Active NPI

Fresh Start Family Services of Oregon, Inc.

  • Foster Care Agency
  • Milwaukie, OR
National Provider Identifier
1962800300
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
0295 Issued in OR
Legal business name
FRESH START FAMILY SERVICES OF OREGON, INC.
Practice address
8825 SE 42ND Ave
Milwaukie, OR 97222-5568
Phone
(503) 704-4579
Fax
(971) 245-3416
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Susan Diane SheetsNPI 1912395021
Title
Executive Director
Phone
(503) 704-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 0295 OR Primary

Addresses

Primary practice location

8825 SE 42ND Ave
Milwaukie, OR 97222-5568

Mailing address

8825 SE 42ND Ave
Milwaukie, OR 97222-5568
Phone (503) 704-4579

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1962800300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 SE 42ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225568",
            "telephone_number": "503-704-4579",
            "fax_number": "971-245-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 SE 42ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225568",
            "telephone_number": "503-704-4579",
            "fax_number": "971-245-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START FAMILY SERVICES OF OREGON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-704-4579"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "OR",
            "license": "0295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.