Active NPI
Obadiah R. Perue, QMHA
- Case Manager/Care Coordinator
- Albany, OR
National Provider Identifier
1972801124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 445 3Rd Ave SW
Albany, OR 97321-2272 - Phone
- (541) 967-3866
- NPI assigned
- Mar 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
445 3Rd Ave SW
Albany, OR 97321-2272
Mailing address
PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1972801124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ALBANY",
"state": "OR",
"postal_code": "973210031",
"telephone_number": "541-967-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 3RD AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212272",
"telephone_number": "541-967-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERUE",
"first_name": "OBADIAH",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.