Individual provider Active NPI

John M Morrell, CO

  • Orthotist
  • Clackamas, OR
National Provider Identifier
1023323847
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
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

Updated by the provider on Aug 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.