ALBERTINA KERR NPI 1568639078

NPI Information

NPI: 1568639078
Provider Name: ALBERTINA KERR
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
722 NE 162ND AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 709-2806
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ALBERTINA KERR is a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, OR. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ALBERTINA KERR NPI is 1568639078. The provider is registered as an organization entity type.

The provider's business location address is:

722 NE 162ND AVE
PORTLAND, OR
ZIP 97230-760
Phone: (503) 709-2806

The provider's authorized official is Greg J Baron .
The authorized official title is Skills Trainer, Care Coordinator and has the following contact phone number (503) 709-2806.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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