Active NPI
Mother Tree International LLC
- Doula
- Portland, OR
National Provider Identifier
1639889355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- MOTHER TREE INTERNATIONAL LLC
- Practice address
- 14146 SE Holgate Blvd
Portland, OR 97236-3845 - Phone
- (503) 343-9911
- NPI assigned
- Dec 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse Remer, CD/THW DOULA
- Title
- Owner/ Member
- Phone
- (503) 407-4732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
14146 SE Holgate Blvd
Portland, OR 97236-3845
Mailing address
14146 SE Holgate Blvd
Portland, OR 97236-3845
Phone (503) 343-9911
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670198400000",
"number": "1639889355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14146 SE HOLGATE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363845",
"telephone_number": "503-343-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14146 SE HOLGATE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363845",
"telephone_number": "503-343-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTHER TREE INTERNATIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-03",
"status": "A",
"authorized_official_last_name": "REMER",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "OWNER/ MEMBER",
"authorized_official_telephone_number": "503-407-4732",
"authorized_official_credential": "CD/THW DOULA"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"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 Dec 5, 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.