Active NPI
Riley Mort
- Social Worker
- Eugene, OR
National Provider Identifier
1073359618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15865
- Practice address
- 211 E 7TH Ave Ste 220
Eugene, OR 97401-2722 - Phone
- (787) 951-9285
- NPI assigned
- Jul 3, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 15865 | PR | Primary |
Addresses
Primary practice location
211 E 7TH Ave Ste 220
Eugene, OR 97401-2722
Mailing address
1475 Saint Johns Ave
Highland Park, IL 60035-3428
Phone (787) 951-9285
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15865 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1073359618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 SAINT JOHNS AVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353428",
"telephone_number": "787-951-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E 7TH AVE STE 220",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012722",
"telephone_number": "787-951-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORT",
"first_name": "RILEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "15865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.