Individual provider Active NPI

Erica Helen Morris, LMT

  • Mechanotherapist
  • Portland, OR
National Provider Identifier
1679714729
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
15784 Issued in OR
Practice address
5311 N Vancouver Ave
Portland, OR 97217-2731
Phone
(307) 413-1597
Fax
(503) 281-4691
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 15784 OR Primary

Addresses

Primary practice location

5311 N Vancouver Ave
Portland, OR 97217-2731

Mailing address

5311 N Vancouver Ave
Portland, OR 97217-2731
Phone (503) 281-0308

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

LicenseStateTypeSpecialty
15784ORMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1679714729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172731",
            "telephone_number": "503-281-0308",
            "fax_number": "503-281-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172731",
            "telephone_number": "307-413-1597",
            "fax_number": "503-281-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ERICA",
        "middle_name": "HELEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "15784",
            "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 Mar 19, 2009; 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.