NPIMap

Organization Active NPI

New Vision Programs of Oregon

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Milwaukie, OR
National Provider Identifier
1962836262
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
0118 Issued in OR
Legal business name
NEW VISION PROGRAMS OF OREGON
Practice address
11576 SE 27TH Ave
Milwaukie, OR 97222-7719
Phone
(503) 704-9478
Fax
(503) 855-3440
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Andre Karam
Title
Executive Director
Phone
(503) 704-9478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 0118 OR Primary

Addresses

Primary practice location

11576 SE 27TH Ave
Milwaukie, OR 97222-7719

Mailing address

16172 NW Kevin CT
Beaverton, OR 97006-7287
Phone (503) 704-9478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1962836262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 NW KEVIN CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067287",
            "telephone_number": "503-704-9478",
            "fax_number": "503-855-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 SE 27TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227719",
            "telephone_number": "503-704-9478",
            "fax_number": "503-855-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION PROGRAMS OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-704-9478"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "license": "0118",
            "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 Aug 22, 2013; 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.