Individual provider Active NPI

Joey Michelle Torgrimson, CPM, LDM, LMT

  • Midwife
  • Portland, OR
National Provider Identifier
1609021245
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
10147174 Issued in OR
Practice address
6635 NE Hancock CT
#200
Portland, OR 97213-5089
Phone
(503) 875-6257
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12921 OR
Midwife 176B00000X 10147174 OR Primary

Addresses

Primary practice location

6635 NE Hancock CT
#200
Portland, OR 97213-5089

Mailing address

6635 NE Hancock CT
#200
Portland, OR 97213-5089
Phone (503) 875-6257

Other identifiers 1

IdentifierTypeStateIssuer
500643633MedicaidOR

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
10147174ORMDMidwife
12921ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1609021245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 NE HANCOCK CT",
            "address_2": "#200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135089",
            "telephone_number": "503-875-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 NE HANCOCK CT",
            "address_2": "#200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135089",
            "telephone_number": "503-875-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORGRIMSON",
        "first_name": "JOEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "CPM, LDM, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12921",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "10147174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500643633",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 3, 2012; 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.