Winter Lynn Pemberton, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

7124 Issued in OR

Practice address

2043 SE 50TH Ave
Portland, OR 97215-3852

Phone

(503) 235-9642

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1538505961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153852",
            "telephone_number": "503-235-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153852",
            "telephone_number": "503-235-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "WINTER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "7124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Pelton
• Rebecca Ann Dondlinger Pelton, MSN, PMHNP-BC
• Joseph Max Pelz, DMD
• Kyzen Pemberton, LMT
• Tara Pemberton, PA-C
• Sovann Dara Pen, L.P.C.
• Daniel Alexandro Pena Sanchez
• Carolina Sofia Pena-Navarro
• Angeles Pena, MD
• Antonio Pena, MD

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.