Juliana Matragrano

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000109468 Issued in OR

Practice address

1717 SW Park Ave Apt 1422
Portland, OR 97201-3246

Phone

(503) 290-6972

NPI assigned

Apr 12, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jules Matragrano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1083468581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SW PARK AVE APT 1422",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013246",
            "telephone_number": "503-290-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SW PARK AVE APT 1422",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013246",
            "telephone_number": "503-290-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRAGRANO",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000109468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULES",
            "last_name": "MATRAGRANO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Noah Matijascic, DPT
• Laura L Matin, DDS
• Elizabeth Ann Matison
• Kimberly A Matkevich, OD
• Hallie Matlick
• Rebecca Matro, M.D.
• John Norman Matschek V, D.M.D.
• Phebe Matsen, M.D.
• Kimberly Brooke Matsler, MSW
• Nikolaus Matsler, M.D.

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.