CPM Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CPM MEDICINE LLC

Doing business as

Cascade Psychedelic Medicine

Practice address

2027 NE Flanders St
Portland, OR 97232-3372

Phone

(503) 453-2941

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Seth Mehr, MD

Title

Owner

Phone

(503) 453-2941

Specialties & licenses 1

Addresses

Other names 1

• Cascade Psychedelic Medicine Doing business as

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1194399899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 NE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123202",
            "telephone_number": "503-453-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 NE FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323372",
            "telephone_number": "503-453-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPM MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "MEHR",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-453-2941",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Psychedelic Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascade Psychedelic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Cozad
• Stefani K Cozine, M.S.
• Robin Cozzolino
• CP Portland Or HH, LLC
• CP Portland Or Hospice, LLC
• Brian James Crabtree, CRM, CADC-R
• Elizabeth Ann Crabtree, LCSW
• Julie Crabtree, RN
• Mary Ann Crabtree, CRMII, PWS, CACD-R
• Mary Katherine Crabtree, DNSC., ANP, PROFESSO

• General Practice Physician in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.