NPIMap

Individual provider Active NPI

Julie Marshall, PH.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1699130781
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1290 Issued in OR
Practice address
7180 SW Fir Loop
Suite 1-a
Portland, OR 97223-8023
Phone
(503) 639-3009
Fax
(503) 620-3453
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1290 OR Primary

Addresses

Primary practice location

7180 SW Fir Loop
Suite 1-a
Portland, OR 97223-8023

Mailing address

7180 SW Fir Loop
Suite 1-a
Portland, OR 97223-8023
Phone (503) 639-3009

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1290ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Centers, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1699130781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 SW FIR LOOP",
            "address_2": "SUITE 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238023",
            "telephone_number": "503-639-3009",
            "fax_number": "503-620-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 SW FIR LOOP",
            "address_2": "SUITE 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238023",
            "telephone_number": "503-639-3009",
            "fax_number": "503-620-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JULIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1290",
            "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 16, 2015; 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.