Individual provider Active NPI

Chantelle Marie Baldwin, DO, ND

  • General Practice Physician
  • Eugene, OR
National Provider Identifier
1245544857
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OP60751263 Issued in WA
Practice address
1310 Coburg Rd Ste 1
Eugene, OR 97401-5200
Phone
(541) 799-0070
Fax
(541) 799-0078
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4069 OR
Clinic/Center 261Q00000X OR
General Practice Physician 208D00000X OP60751263 WA Primary

Addresses

Primary practice location

1310 Coburg Rd Ste 1
Eugene, OR 97401-5200

Mailing address

1310 Coburg Rd Ste 1
Eugene, OR 97401-5200
Phone (541) 799-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713003179 WA Practitioner - General Practice 1759762354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60751263WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Health Clinic LLC Naturopath CurrentSince Dec 1, 2019 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jun 1, 2022 Accepting new patients

Locations

1310 Coburg Rd
Ste 1
Eugene, OR 97401
Phone (541) 799-0070

1850 Oak St
Ste A
Eugene, OR 97401

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • Direct secure messaging: chantelle.baldwin@166869338947588.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1245544857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-799-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-799-0070",
            "fax_number": "541-799-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CHANTELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4069",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "OP60751263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.