Individual provider Active NPI

Martha Rivera Canjura

  • Doula
  • Medford, OR
National Provider Identifier
1790147536
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
3265 Biddle Rd
Medford, OR 97504-4122
Phone
(541) 690-8482
Fax
(541) 500-3310
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X OR Primary

Addresses

Primary practice location

3265 Biddle Rd
Medford, OR 97504-4122

Mailing address

PO Box 4634
Medford, OR 97501-0186
Phone (541) 690-8482

Other practice location 1

615 Berrydale Ave
Medford, OR 97501-1621
Phone (541) 621-9299

Other practice location 2

229 N Bartlett St Ste 101
Medford, OR 97501-6030
Phone (541) 690-8482

Other names 1

  • Martha Rivera Canjura Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Doulas, LLC Doula CurrentSince May 16, 2021 Accepting new patients

Locations

3265 Biddle Rd
Medford, OR 97504
Phone (541) 816-4747

229 N Bartlett St
Ste 101
Medford, OR 97501
Phone (541) 690-8482

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1790147536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4634",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010186",
            "telephone_number": "541-690-8482",
            "fax_number": "541-500-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 BIDDLE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044122",
            "telephone_number": "541-690-8482",
            "fax_number": "541-500-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Berrydale Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975011621",
            "country_code": "US",
            "telephone_number": "541-621-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 N Bartlett St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975016030",
            "country_code": "US",
            "telephone_number": "541-690-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA CANJURA",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "RIVERA CANJURA",
            "credential": "THW DOULA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.