NORTHWEST IMAGING FORUMS, INC. (NPI# 1902261753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902261753 |
Entity Type | Organization |
Organization Name | NORTHWEST IMAGING FORUMS, INC. |
Practice Address |
1504 Eyrie Ln Eugene OR 97402-7560 |
Mailing Address |
Po Box 25909 Eugene OR 97402-0461 |
Practice Telephone | 5416834930 |
Practice Fax Number | 5416838499 |
Mailing Telephone | 5416834930 |
Mailing Fax Number | 5416838499 |
Enumeration Date | 2015-12-22 |
Last Update Date | 2015-12-22 |
Authorized Official Name | MR. MATT WILSON (PRESIDENT) |
Authorized Official Telephone | 5416834930 |
Authorized Official Credential | BS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | DUNS NUMBER | 612449256 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | NORTHWEST IMAGING FORUMS, INC. | 23323 W Sheffler Road, Elmira, OR 97437 |
Street Address |
1504 EYRIE LN |
City | EUGENE |
State | OR |
Zip Code | 97402-7560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
Find all providers in zip 97402 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053926568 | Trillium Family Services, Inc. | Day Training, Developmentally Disabled Services | 2480 Ne Twin Knolls Dr, Bend, OR 97701-6833 | 2020-09-11 |
1659924629 | Believe and Achieve. LLC | Day Training, Developmentally Disabled Services | 15376 Nw Nightshade Dr, Portland, OR 97229-1577 | 2019-07-18 |
1417419268 | Allies & Mentors LLC | Day Training, Developmentally Disabled Services | 408 Sw Monroe Ave # L-191, Corvallis, OR 97333-7210 | 2019-04-02 |
1164995502 | Karina Voznay | Day Training, Developmentally Disabled Services | 3993 Se Noland St, Hillsboro, OR 97123-8659 | 2019-01-08 |
1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
1457893893 | Diversability Inc. | Day Training, Developmentally Disabled Services | 1440 Nw Cumberland Ave, Bend, OR 97703-3119 | 2016-11-16 |
1558710053 | Sarh Human Services, LLC | Day Training, Developmentally Disabled Services | 20548 Nw Brentford Ter, Beaverton, OR 97006-9209 | 2016-06-07 |
1558733527 | Arise Mentors, LLP | Day Training, Developmentally Disabled Services | 5676 Se Garnet Way, Milwaukie, OR 97267-6252 | 2015-10-29 |
1598149007 | Ackley Counseling & Employment Services | Day Training, Developmentally Disabled Services | 10 S Bartlett St Ste 202, Medford, OR 97501-7204 | 2015-07-14 |
1982977641 | Project Pace, Inc. | Day Training, Developmentally Disabled Services | 2360 Sw 170th Ave, Beaverton, OR 97006-4345 | 2012-02-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.