{
"Npi": {
"NPI": "1851715098",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES M MOURS, LLC",
"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": "10121 SE SUNNYSIDE RD",
"SecondLineMailingAddress": "SUITE #300",
"MailingAddressCityName": "CLACKAMAS",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97015-5745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-941-0245",
"MailingAddressFaxNumber": "503-972-1658",
"FirstLinePracticeLocationAddress": "10121 SE SUNNYSIDE RD",
"SecondLinePracticeLocationAddress": "SUITE #300",
"PracticeLocationAddressCityName": "CLACKAMAS",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97015-5745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-941-0245",
"PracticeLocationAddressFaxNumber": "503-972-1658",
"EnumerationDate": "02/07/2014",
"LastUpdateDate": "02/07/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOURS",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "MARCEL",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSYD",
"AuthorizedOfficialTelephoneNumber": "503-806-2250",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "1991",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}