Individual provider Active NPI

Melodie Ethel-King, OTR/L

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1750326344
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
#986473 Issued in OR
Practice address
8880 SW Nimbus Ave Ste C
Beaverton, OR 97008-7111
Phone
(503) 352-0240
Fax
(971) 279-5635
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X #986473 OR Primary

Addresses

Primary practice location

8880 SW Nimbus Ave Ste C
Beaverton, OR 97008-7111

Mailing address

8880 SW Nimbus Ave Ste C
Beaverton, OR 97008-7111
Phone (503) 352-0240

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
#986473ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Occupational Medicine Center Inc. PastSince Sep 13, 2006 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1750326344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 SW NIMBUS AVE STE C",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087111",
            "telephone_number": "503-352-0240",
            "fax_number": "971-279-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 SW NIMBUS AVE STE C",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087111",
            "telephone_number": "503-352-0240",
            "fax_number": "971-279-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHEL-KING",
        "first_name": "MELODIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "#986473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.