Individual provider Active NPI

Marie H Mason, DC

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1811098056
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5019 Issued in OR
Practice address
1748 NW Fairview Dr
Gresham, OR 97030-3842
Phone
(503) 492-3910
Fax
(503) 674-6706
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034565 WA
Chiropractor 111N00000X 5019 OR Primary

Addresses

Primary practice location

1748 NW Fairview Dr
Gresham, OR 97030-3842

Mailing address

17921 NE Cramer Rd
Battle Ground, WA 98604-6123
Phone (360) 723-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000166 WA Practitioner - Chiropractic 5991850430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darling Chiropractic Services, PCGroup PAC ID 6709900772, 5 clinicians

Practice addresses (Care Compare)

327 NE 5TH Ave
Camas, WA 98607-2030
Phone (360) 834-5126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5019ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Chiropractic Services, PC Chiropractor CurrentSince Jan 15, 2021 Accepting new patients

Locations

235 NE 6th Ave
Camas, WA 98607
Phone (360) 834-5126

327 NE 5th Ave
Camas, WA 98607
Phone (360) 834-3141

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1811098056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17921 NE CRAMER RD",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046123",
            "telephone_number": "360-723-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NW FAIRVIEW DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303842",
            "telephone_number": "503-492-3910",
            "fax_number": "503-674-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MARIE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034565",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.