Organization Active NPI

Northwest Regional Education Service District

  • Early Intervention Provider Agency
  • Hillsboro, OR
National Provider Identifier
1992845382
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NORTHWEST REGIONAL EDUCATION SERVICE DISTRICT
Practice address
5825 NE Ray Cir
Hillsboro, OR 97124-6436
Phone
(503) 614-1667
Fax
(503) 614-1608
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Tamira Montague
Title
Chief Financial Officer
Phone
(503) 614-1253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

5825 NE Ray Cir
Hillsboro, OR 97124-6436

Mailing address

5825 NE Ray Cir
Hillsboro, OR 97124-6436
Phone (503) 614-1667

Other identifiers 1

IdentifierTypeStateIssuer
210382MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Northwest Regional Education Service District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5825 NE Ray Cir
Hillsboro, OR 97124
Phone (503) 614-1428

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1992845382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 NE RAY CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246436",
            "telephone_number": "503-614-1667",
            "fax_number": "503-614-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 NE RAY CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246436",
            "telephone_number": "503-614-1667",
            "fax_number": "503-614-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST REGIONAL EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "TAMIRA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "503-614-1253"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210382",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.