Orie Made, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18-CRM-124 Issued in OR

Practice address

185 NW D St
Suite D&E
Madras, OR 97741

Phone

(541) 306-4566

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1750868196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 NE 4TH ST STE B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014268",
            "telephone_number": "541-306-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NW D ST",
            "address_2": "SUITE D&E",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "97741",
            "telephone_number": "541-306-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADE",
        "first_name": "ORIE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18CRM124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18-CRM-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "18CRM124",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Liles
• John F Lindberg, MD
• Kasey Lohman, DPT
• Keith Eugene Long, PA-C
• Paige Lyons, MS, QMHP-R
• Madras Medical Group P.C.
• Madras Physical Therapy Group Inc.
• Madras Vision Source PC
• Erick Maldinera
• Bradley Mallinger, MSW

• All providers in Madras, OR
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.