Active NPI
Amy Marie Doerfler
- Case Manager/Care Coordinator
- Salem, OR
National Provider Identifier
1265634646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1118 Oak St SE
Salem, OR 97301-4019 - Phone
- (503) 585-4949
- Fax
- (503) 585-4965
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Case Manager/Care Coordinator | 171M00000X | OR | Primary |
Addresses
Primary practice location
1118 Oak St SE
Salem, OR 97301-4019
Mailing address
5955 Trail Ave NE Apt 103
Keizer, OR 97303-4069
Phone (503) 269-4162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265634646 | Other | OR | PSYCHIATRIC CRISIS CENTER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adoerfler@maion.co.or.us | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Salem, OR
- NPI 1528147782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1265634646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 TRAIL AVE NE APT 103",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034069",
"telephone_number": "503-269-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014019",
"telephone_number": "503-585-4949",
"fax_number": "503-585-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERFLER",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC CRISIS CENTER",
"identifier": "1265634646",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adoerfler@maion.co.or.us",
"affiliation": "N",
"endpointDescription": "county email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1118 Oak St SE",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973014019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.