Active NPI
Massarra Eiwaz, B.A.
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1093121774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216 - Phone
- (503) 231-7480
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Mailing address
605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Phone (503) 231-7480
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1093121774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143216",
"telephone_number": "503-231-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143216",
"telephone_number": "503-231-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIWAZ",
"first_name": "MASSARRA",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Linda Kathleen Eisenberg, MA MED LPA LPC PSYA
- Todd D Eisenberg, M.D.
- Tricia Lea Eisenbraun, RD, LD
- Sara Eisenfeld, MSW
- Erika Marie Eisenstecken, DPT
- Ek Anesthesia, P.C. (EK Anesthesia)
- Ekaterina Shavlovsky (Optimal Health Naturopathic clinic)
- Calley Ekberg, EDS, NCSP
- Marissa Ekilah, M.A.
- Heidi Ekis, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.