OUTSIDE IN (NPI# 1972124196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972124196 |
| Entity Type | Organization |
| Organization Name | OUTSIDE IN |
| Practice Address |
16144 E Burnside St Portland OR 97233-3520 |
| Mailing Address |
1132 Sw 13th Ave Portland OR 97205-1703 |
| Practice Telephone | 5035353880 |
| Practice Fax Number | 5032236837 |
| Mailing Telephone | 5035353800 |
| Mailing Fax Number | 5032236837 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | BONNIE ROSS (FINANCE DIRECTOR) |
| Authorized Official Telephone | 5035353803 |
| Is Organization Subpart | Y |
| Parent Organization Name | OUTSIDE IN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 181599 | 05 |
| Other Name | Type Code |
|---|---|
| Non Profit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1629470257 | Outside In | Community/Behavioral Health | 11300 Se 23rd Ave, Milwaukie, OR 97222-7753 | 2014-09-26 |
| 1104193283 | Outside In | Clinic/Center | 11300 Se 23rd Avenue, Milwaukie High School Health & Wellness Center, Milwaukie, OR 97222-7753 | 2011-11-17 |
| 1568401347 | Outside In | Clinic/Center | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2006-06-06 |
| 1831697259 | Outside In | Clinic/Center | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2018-01-31 |
| 1811404353 | Outside In | Clinic/Center | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2018-01-05 |
| 1215178462 | Outside In | Pharmacy | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2009-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OUTSIDE IN | 1132 Sw 13th Ave, Portland, OR 97205 |
| Vermont Business Registrations | OUTSIDE IN | Fay Brook Rd, Sharon, VT 05065 |
| Iowa Business Entities | OUTSIDE IN AVIATION, LLC | 3225 Ave N, Fort Madison, IA 52627 |
| Washington State Corporations | OUTSIDE IN BUILDERS, INC. | 10017 41st Ave Sw, Seattle, WA 98146-3607 |
| Colorado Business Entities | Outside In Colorado, LLC | 317 Grand Ave, Paonia, CO 81428 |
| Colorado Business Entities | Outside In Consulting L.L.C. | 12343 E Cornell Ave, Aurora, CO 80012 |
| Oregon Corporations, Companies and Business Names | OUTSIDE IN LIFELINE LLC | 5910 Sw Menlo Dr, Beaverton, OR 97005 |
| Colorado Business Entities | Outside In LLC | 343 Shenandoah Dr, Hesperus, CO 81326 |
| Massachusetts Corporations | OUTSIDE IN LLC | 29 South Main Street, Cohasset, MA 02025 |
| Oregon Corporations, Companies and Business Names | OUTSIDE IN MEDIA CO. | 20299 Schaeffer Drive, Bend, OR 97701 |
| Street Address |
16144 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on OUTSIDE IN.
| 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.