NPI 1235643602 · live from the CMS NPI Registry
Autism Outreach Of Oregon
Behavior Analyst in Portland, OR. National Provider Identifier 1235643602, active.
NPI record
| NPI | 1235643602 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10350 N Vancouver Way #1043, Portland, OR 97217 |
| Practice phone | 619-795-9925 |
| Mailing address | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108 |
| Enumerated | November 21, 2017 |
| Last updated | June 16, 2020 |
| Authorized official | Zohal Alemi, Operations Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.