Active NPI
Marivel Ortiz
- Doula
- McMinnville, OR
National Provider Identifier
1386476786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- THW000111709
- Practice address
- 730 NW Wallace Rd
McMinnville, OR 97128-5344 - Phone
- (503) 708-4086
- NPI assigned
- Aug 15, 2024
- 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 |
|---|---|---|---|---|
| Doula | 374J00000X | THW000111709 | OR | Primary |
Addresses
Primary practice location
730 NW Wallace Rd
McMinnville, OR 97128-5344
Mailing address
730 NW Wallace Rd
McMinnville, OR 97128-5344
Phone (503) 708-4086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW000111709 | Medicaid | OR |
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 |
|---|---|---|---|
| THW000111709 | OR | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1386476786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 NW WALLACE RD",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971285344",
"telephone_number": "503-708-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NW WALLACE RD",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971285344",
"telephone_number": "503-708-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "MARIVEL",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OR",
"license": "THW000111709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "THW000111709",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.