Active NPI
Catherine Willeford
- Registered Dietitian
- Portland, OR
National Provider Identifier
1356698682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 869188
- Practice address
- 2833 NE Schuyler St
Portland, OR 97212-5058 - Phone
- (503) 206-4310
- NPI assigned
- Aug 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 869188 | Primary |
Addresses
Primary practice location
2833 NE Schuyler St
Portland, OR 97212-5058
Mailing address
2833 NE Schuyler St
Portland, OR 97212-5058
Phone (503) 206-4310
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1356698682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2833 NE SCHUYLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125058",
"telephone_number": "503-206-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 NE SCHUYLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125058",
"telephone_number": "503-206-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEFORD",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "869188",
"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 Aug 6, 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.