Active NPI
Mark Cedarleaf, LMT
- Mechanotherapist
- Salem, OR
National Provider Identifier
1659682870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7983
- Practice address
- 705 12TH St SE
Salem, OR 97301-4004 - Phone
- (503) 375-2989
- NPI assigned
- Jun 23, 2010
- Last updated
- Jun 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7983 | OR | Primary |
Addresses
Primary practice location
705 12TH St SE
Salem, OR 97301-4004
Mailing address
353 Glen Creek Rd NW Apt 16
Salem, OR 97304-3091
Phone (503) 375-2989
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 |
|---|---|---|---|
| 7983 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1659682870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 GLEN CREEK RD NW APT 16",
"city": "SALEM",
"state": "OR",
"postal_code": "973043091",
"telephone_number": "503-375-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 12TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014004",
"telephone_number": "503-375-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDARLEAF",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "7983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Nacole Cavette, BA, QMHA
- Emariana Caza de Oliva, CHW
- Caitlin R Cecil, BEHAVIOR TECHNICIAN
- Lisa Cecil
- Cedar Ridge Retirement & Assisted Living Community LLC (Cedar Ridge Retirement & Assisted Living Community)
- Allison Celauro, ARNP
- Julienne Centeno, QMHP
- Center for Addiction and Counseling Servcies LLC
- Center for Addiction and Counseling Services
- Center for Addiction and Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.