Lorelynn Mirage Cardo, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1221 SE Madison St
Portland, OR 97214-3890

Phone

(503) 445-7767

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609126952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NW 156TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065665",
            "telephone_number": "503-690-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-445-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDO",
        "first_name": "LORELYNN",
        "middle_name": "MIRAGE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Neitzel Carder, M.A.
• Adrienne Cardiel, QMHP, MSW, LCSW
• Cardinal Chiropractic, PC
• Cardinal Family Medicine, LLC
• Cardiorenal Vision for Oregon LLC
• Gina Teresa Cardona, CNM
• Jessica Cardone
• Casey Naimat Cardoso, EP-C, EIM, LMT
• Gianna Carducci
• Mary Kaitlin Cardullo, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.