1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Behavior Technician
  6. NPI Profile
  7. NPI Record 1598271504

JONATHAN PIDGEON
Complete NPI Record 1598271504
Behavior Technician in Portland, OR

NPI Status: Active since December 28, 2017

Contact Information

125 NE 102ND AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 254-6317

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Provider Gender Code
  20. Healthcare Provider Taxonomy Code 1
  21. Healthcare Provider Primary Taxonomy Switch 1
  22. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1598271504. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1598271504
The fax number associated with the location address of the provider being identified.
Entity Type Code: 1
The date the provider was assigned a unique identifier (assigned an NPI).
The date that a record was last updated or changed.
Provider First Name: JONATHAN
The code designating the provider’s gender if the provider is a person.
Provider First Line Business Mailing Address: 21600 OXNARD ST STE 1800
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: WOODLAND HILLS
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 913677807
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8183452345
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 125 NE 102ND AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: PORTLAND
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: OR
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 972204166
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5032546317
The country code in the location address of the provider being identified.
Provider Enumeration Date: 12/28/2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/28/2017
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 106S00000X
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N