NPIMap

Organization Active NPI

Katherine Mechling

Doing business as Clear Creek Family Practice

  • Primary Care Clinic/Center
  • Selma, OR
National Provider Identifier
1861681967
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD19485 Issued in OR
Legal business name
KATHERINE MECHLING
Doing business as
Clear Creek Family Practice
Practice address
18173 Redwood Hwy
Selma, OR 97538-0847
Phone
(541) 597-2464
Fax
(541) 597-4280
NPI assigned
Oct 15, 2007
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Katherine A Mechling, MDNPI 1699767103
Title
Owner/ Physician
Phone
(541) 597-2464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X MD19485 OR
Primary Care Clinic/Center 261QP2300X MD19485 OR Primary

Addresses

Primary practice location

18173 Redwood Hwy
Selma, OR 97538-0847

Mailing address

PO Box 847
Selma, OR 97538-0847
Phone (541) 597-2464

Other names 1

  • Clear Creek Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1861681967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975380847",
            "telephone_number": "541-597-2464",
            "fax_number": "541-597-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18173 REDWOOD HWY",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975380847",
            "telephone_number": "541-597-2464",
            "fax_number": "541-597-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MECHLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "MECHLING",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "541-597-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "OR",
            "license": "MD19485",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD19485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.