Individual provider Active NPI

Mariahm Stephenson, CHES

  • Health Educator
  • Beaverton, OR
National Provider Identifier
1376014027
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
25781 Issued in OR
Practice address
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone
(503) 906-7928
Fax
(844) 301-4226
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 25781 OR Primary

Addresses

Primary practice location

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687

Mailing address

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone (503) 906-7928

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
25781ORMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Professional Health Services, Inc. Current Accepting new patients

Locations

12725 SW Millikan Way
Ste 300
Beaverton, OR 97005
Phone (503) 303-0304

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1376014027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "503-906-7928",
            "fax_number": "844-301-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "503-906-7928",
            "fax_number": "844-301-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MARIAHM",
        "name_prefix": "Ms.",
        "credential": "CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OR",
            "license": "25781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.