Peregrine International Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1748 Issued in OR

Legal business name

PEREGRINE INTERNATIONAL INC

Practice address

14780 SW Osprey Dr Ste 240
Beaverton, OR 97007-8424

Phone

(503) 579-2474

Fax

(503) 579-0909

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Loretta F Newberry, LCSWNPI 1740223411

Title

President

Phone

(503) 579-2474

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Loretta Newberry, M.S.W., L.C.S.W.

  • Mental Health Counselor
  • Beaverton, OR
  • NPI 1740223411
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982814877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078424",
            "telephone_number": "503-579-2474",
            "fax_number": "503-579-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078424",
            "telephone_number": "503-579-2474",
            "fax_number": "503-579-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-579-2474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Peltola, RPH
• Siphanna Pen, RPH
• Madison Gail Pengra-Watanabe
• Michael Jeffrey Penkman, OTD
• Dennis Gene Perala, DMD
• Dustin Pereira
• Makayla Pereira
• Martha Perez Angulo, CADC-I, CRM
• Kelly Beth Perez de la Cruz, MSW, LCSW
• Alexis Perez

• Clinical Social Worker in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.