Active NPI
Caroline Jean Caulfield
- Prevention Professional
- Portland, OR
National Provider Identifier
1376083121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 3930
- Practice address
- 14232 SE Mill CT
Portland, OR 97233-2370 - Phone
- (503) 960-2043
- Fax
- (503) 261-8468
- NPI assigned
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 3930 | OR | Primary |
Addresses
Primary practice location
14232 SE Mill CT
Portland, OR 97233-2370
Mailing address
25117 SW Parkway Ave
Wilsonville, OR 97070-9697
Phone (503) 570-3665
Other names 1
- Ms. Caroline Jean Wampfler
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3930 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1376083121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697",
"telephone_number": "503-570-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14232 SE MILL CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972332370",
"telephone_number": "503-960-2043",
"fax_number": "503-261-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAULFIELD",
"first_name": "CAROLINE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OR",
"license": "3930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "WAMPFLER",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.