NPI Code Detail JSON Logo

1902762230 NPI number — PAUL VAN HEBERT II YPSS

NPI Number: 1902762230
Health Care Provider/Practitioner: PAUL VAN HEBERT II YPSS

Information about “1902762230” NPI (PAUL VAN HEBERT II YPSS) exists in 1902762230 in HTML format HTML  |  1902762230 in plain Text format TXT  |  1902762230 in PDF (Portable Document Format) PDF  |  1902762230 in an XML format XML  formats.

NPI Number : 1902762230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902762230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEBERT",
    "FirstName": "PAUL",
    "MiddleName": "VAN",
    "NamePrefix": null,
    "NameSuffix": "II",
    "Credential": "YPSS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HEBERT",
    "OtherFirstName": "PJ",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NICKNAME",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6200 SE KING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97222-2891",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-546-6377",
    "MailingAddressFaxNumber": "503-546-9397",
    "FirstLinePracticeLocationAddress": "6200 SE KING RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97222-2891",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-546-6377",
    "PracticeLocationAddressFaxNumber": "503-546-9397",
    "EnumerationDate": "12/30/2025",
    "LastUpdateDate": "12/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175T00000X",
        "TaxonomyName": "Peer Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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