Basic Information
| Provider Information | |||||||||
| NPI: | 1376611418 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VOLUNTEERS OF AMERICA INC. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| OtherOrganizationName: | VOLUNTEERS OF AMERICA OF OREGON INC. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3910 SE STARK ST | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972143241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032358655 | ||||||||
| FaxNumber: | 5032396233 | ||||||||
| Practice Location | |||||||||
| Address1: | 3910 SE STARK ST | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972143241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032358655 | ||||||||
| FaxNumber: | 5032396233 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2006 | ||||||||
| LastUpdateDate: | 06/22/2016 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | TORAN | ||||||||
| AuthorizedOfficialFirstName: | KAY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5032358655 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MISS | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | OR | N | Ambulatory Health Care Facilities | Clinic/Center | Health Service | 261QM0850X | OR | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | 261QR0405X | OR | N | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | 251B00000X | N | Agencies | Case Management | 324500000X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 251S00000X | N | Agencies | Community/Behavioral Health | 261QM2500X | N | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | 171W00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Other Service Providers | Contractor |
No ID Information.