Malea Macodrum, N.D., M.S.O.M.

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

516 SE Morrison St
Suite 207
Portland, OR 97214-2327

Phone

(503) 239-1022

Fax

(503) 512-5850

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mmacodrum527156@oc.providencedirect.org

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.

• East by Northwest Integrative Medicine

  • Naturopath
  • Portland, OR
  • NPI 1336545144
  NPD (past) Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1700288669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 SE 33RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023056",
            "telephone_number": "503-754-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST",
            "address_2": "SUITE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142327",
            "telephone_number": "503-239-1022",
            "fax_number": "503-512-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACODRUM",
        "first_name": "MALEA",
        "credential": "N.D., M.S.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Macminn
• Karen Stevens Macmurdy, MD
• Nancy Jean Macneal, M.D.
• Lauren Mary Macneill, LCSW
• Jennifer Larned Macnichol, M.D.
• Conrad J Macon, M.D.
• Karen Diane Macon
• Wyman Macon
• Ryan R Macphee, RN, NP
• Austin A Macpherson, LMT

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.