Individual provider Active NPI

Maddison Rylie Pitzl

  • Other Specialist/Technologist
  • West Linn, OR
National Provider Identifier
1336948280
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
765784 Issued in OR
Practice address
18750 Willamette Dr Ste F
West Linn, OR 97068-1700
Phone
(503) 833-2649
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 765784 OR Primary

Addresses

Primary practice location

18750 Willamette Dr Ste F
West Linn, OR 97068-1700

Mailing address

18750 Willamette Dr Ste F
West Linn, OR 97068-1700
Phone (503) 833-2649

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

LicenseStateTypeSpecialty
765784ORMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1336948280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18750 WILLAMETTE DR STE F",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681700",
            "telephone_number": "503-833-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18750 WILLAMETTE DR STE F",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681700",
            "telephone_number": "503-833-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITZL",
        "first_name": "MADDISON",
        "middle_name": "RYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "OR",
            "license": "765784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.