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JOHN RAVEN
NPI 1609069921
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since August 21, 2007PECOS Enrolled
2505 SE 11TH AVE STE 332, PORTLAND, OR 97202(503) 206-9696 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2021, Sep 23, 2019 (2 updates tracked since 2019).

About John Raven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN RAVEN (NPI 1609069921) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (10-12-70) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clackamas.

NPPES Registry Identity

NPI1609069921
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN RAVEN
Location Address2505 SE 11TH AVE STE 332Portland, OR 97202-1063
Mailing Address10951 Se Stevens WayHappy Valley, OR 97086-7435 · (503) 206-9696
Phone(503) 206-9696
Sole ProprietorYes
Enumeration DateAugust 21, 2007
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1609069921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 10-12-70
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C3475 (OR)
2505 SE 11TH AVE STE 332, Portland, OR 97202
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Secondary Practice Location 1

Location 19800 SE Sunnyside RdClackamas, OR 97015-9750 · Phone (503) 249-3434

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Raven is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Raven's NPI number?

The NPI number for John Raven is 1609069921. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is John Raven located?

John Raven practices at 2505 SE 11th Ave Ste 332, Portland, OR 97202. The listed phone number is (503) 206-9696.

What is John Raven's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is John Raven enrolled in Medicare?

Yes. John Raven is registered in the Medicare PECOS enrollment system.

What insurance does John Raven accept?

Health plans from Kaiser Permanente and Providence Health Plan list John Raven as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Raven was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.