{
"Npi": {
"NPI": "1225482243",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACCOUNTABLE HEALTHCARE STAFFING",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8555 SW APPLE WAY",
"SecondLineMailingAddress": "SUITE 130",
"MailingAddressCityName": "PORTLAND",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97225-1774",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "971-340-1800",
"MailingAddressFaxNumber": "503-477-7844",
"FirstLinePracticeLocationAddress": "8555 SW APPLE WAY",
"SecondLinePracticeLocationAddress": "SUITE 130",
"PracticeLocationAddressCityName": "PORTLAND",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97225-1774",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "971-340-1800",
"PracticeLocationAddressFaxNumber": "503-477-7844",
"EnumerationDate": "04/15/2016",
"LastUpdateDate": "04/15/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANTZ",
"AuthorizedOfficialFirstName": "CHAD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RECRUITER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "971-340-1800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "742181",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}