Active NPI
Christina Michelle Perdew, LMT
- Specialist
- Carlton, OR
National Provider Identifier
1851623888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15981
- Practice address
- 455 W Main St
Carlton, OR 97111-8904 - Phone
- (503) 896-9880
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15981 | OR | Primary |
Addresses
Primary practice location
455 W Main St
Carlton, OR 97111-8904
Mailing address
980 E 1St St
Yamhill, OR 97148-8604
Phone (503) 896-9880
Other practice location 1
5300 Parkview Dr
#2086
Lake Oswego, OR 97035-8722
Phone (503) 804-6015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15981 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1851623888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 E 1ST ST",
"city": "YAMHILL",
"state": "OR",
"postal_code": "971488604",
"telephone_number": "503-896-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W MAIN ST",
"city": "CARLTON",
"state": "OR",
"postal_code": "971118904",
"telephone_number": "503-896-9880"
}
],
"practiceLocations": [
{
"address_1": "5300 Parkview Dr",
"address_2": "#2086",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970358722",
"country_code": "US",
"telephone_number": "503-804-6015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERDEW",
"first_name": "CHRISTINA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "15981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.