Organization Active NPI

Dr. Mary Caselli PC

  • Naturopath
  • Portland, OR
National Provider Identifier
1366762056
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0627 Issued in OR
Legal business name
DR. MARY CASELLI PC
Practice address
2119 NE Halsey St
Portland, OR 97232-1522
Phone
(503) 335-8983
Fax
(503) 517-8590
NPI assigned
Jun 4, 2010
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Mary F Caselli, N.D.
Title
Physician/Owner
Phone
(503) 335-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0627 OR Primary

Addresses

Primary practice location

2119 NE Halsey St
Portland, OR 97232-1522

Mailing address

2025 NE 24TH Ave
Portland, OR 97212-4722
Phone (503) 335-8983

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1366762056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NE 24TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124722",
            "telephone_number": "503-335-8983",
            "fax_number": "503-517-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321522",
            "telephone_number": "503-335-8983",
            "fax_number": "503-517-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY CASELLI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "CASELLI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-335-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0627",
            "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 Jun 4, 2010; 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.