Active NPI
Rachel L Pincetich, L.M.T.
- Specialist
- Portland, OR
National Provider Identifier
1154689875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17150
- Practice address
- 850 NE 81St Ave
Suite #208
Portland, OR 97213-6978 - Phone
- (503) 290-4757
- NPI assigned
- May 1, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 17150 | OR | Primary |
Addresses
Primary practice location
850 NE 81St Ave
Suite #208
Portland, OR 97213-6978
Mailing address
850 NE 81St Ave
Suite #208
Portland, OR 97213-6978
Phone (503) 290-4757
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 |
|---|---|---|---|
| 17150 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1154689875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 NE 81ST AVE",
"address_2": "SUITE #208",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136978",
"telephone_number": "503-290-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 NE 81ST AVE",
"address_2": "SUITE #208",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136978",
"telephone_number": "503-290-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCETICH",
"first_name": "RACHEL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "17150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.