Active NPI
John M Morrell, CO
- Orthotist
- Clackamas, OR
National Provider Identifier
1023323847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 10117 SE Sunnyside Rd Ste L
Clackamas, OR 97015-7708 - Phone
- (503) 653-9772
- Fax
- (503) 786-2179
- NPI assigned
- Aug 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
10117 SE Sunnyside Rd Ste L
Clackamas, OR 97015-7708
Mailing address
10117 SE Sunnyside Rd Ste L
Clackamas, OR 97015-7708
Phone (503) 653-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1023323847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10117 SE SUNNYSIDE RD STE L",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970157708",
"telephone_number": "503-653-9772",
"fax_number": "503-786-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10117 SE SUNNYSIDE RD STE L",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970157708",
"telephone_number": "503-653-9772",
"fax_number": "503-786-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRELL",
"first_name": "JOHN",
"middle_name": "M",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.