Organization Active NPI

Mother Tree International LLC

  • Doula
  • Portland, OR
National Provider Identifier
1639889355
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Dec 5, 2022

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)CodeLicenseStatePrimary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.