Active NPI
Cassidy Dobek, CPM LDM
- Midwife
- Portland, OR
National Provider Identifier
1639677131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 1018728
- Practice address
- 9002 NE Webster St
Portland, OR 97220-4628 - Phone
- (802) 349-7077
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 1018728 | OR | Primary |
Addresses
Primary practice location
9002 NE Webster St
Portland, OR 97220-4628
Mailing address
9002 NE Webster St
Portland, OR 97220-4628
Phone (802) 349-7077
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 |
|---|---|---|---|
| 1018728 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1639677131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 NE WEBSTER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204628",
"telephone_number": "802-349-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 NE WEBSTER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204628",
"telephone_number": "802-349-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBEK",
"first_name": "CASSIDY",
"credential": "CPM LDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "1018728",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.