Active NPI
Straight From the Heart
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1972639458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ALICE RICHARD LIC# 1
- Legal business name
- STRAIGHT FROM THE HEART
- Practice address
- 5404 N Montana Ave
Portland, OR 97217-4557 - Phone
- (503) 232-0969
- Fax
- (503) 234-2326
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Jerome Stretch, LCSW
- Title
- President of Straight From the Hear
- Phone
- (503) 232-0969
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ALICE RICHARD LIC# 1 | OR | Primary |
| Clinical Social Worker | 1041C0700X | PAUL STRETCH #1994 | OR |
Addresses
Primary practice location
5404 N Montana Ave
Portland, OR 97217-4557
Mailing address
5404 N Montana Ave
Portland, OR 97217-4557
Phone (503) 232-0969
Other names 1
- Alicia Richards LCSW and Paul Stretch LCSW Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1972639458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 N MONTANA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174557",
"telephone_number": "503-232-0969",
"fax_number": "503-234-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 N MONTANA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174557",
"telephone_number": "503-232-0969",
"fax_number": "503-234-2326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAIGHT FROM THE HEART",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "STRETCH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "PRESIDENT OF STRAIGHT FROM THE HEAR",
"authorized_official_telephone_number": "503-232-0969",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "ALICE RICHARD LIC# 1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "PAUL STRETCH #1994",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alicia Richards LCSW and Paul Stretch LCSW Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.