Brooke Nicole Marshall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12655 SW Center St Ste 100
Beaverton, OR 97005-1600

Phone

(503) 828-3402

NPI assigned

Feb 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1568054013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 NE CEDAR FALLS LOOP",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066067",
            "telephone_number": "971-217-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051600",
            "telephone_number": "503-828-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brookem@wolfpackcts.org",
            "affiliation": "Y",
            "affiliationName": "Wolf Pack Consulting and Therapeutic Services LLC",
            "address_1": "12655 SW Center St Ste 100",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970051600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Addison Marler, MA
• Elis Marquez Ruiz
• Christian B Marrero
• Spencer Alexander Marrero, D.D.S.
• Tamara Marriott
• Chandler Marshall
• Kathryn Elizabeth Marshall, PSY.D.
• Linda L Marshall, MSW LCSW
• Mary K Marshall, ANP
• Natalie Ella Marshburn, PHARMD

• Behavior Technician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.