Active NPI
Caelie Jaye Winchester
- Mechanotherapist
- Beaverton, OR
National Provider Identifier
1861746760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 18337
- Practice address
- 16784 SW Vincent St
Beaverton, OR 97007-1912 - Phone
- (971) 506-4566
- NPI assigned
- Oct 31, 2012
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 18337 | OR | Primary |
Addresses
Primary practice location
16784 SW Vincent St
Beaverton, OR 97007-1912
Mailing address
8835 N Hartman St
Portland, OR 97203-1008
Phone (405) 630-9799
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 |
|---|---|---|---|
| 18337 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1861746760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 N HARTMAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972031008",
"telephone_number": "405-630-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16784 SW VINCENT ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970071912",
"telephone_number": "971-506-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCHESTER",
"first_name": "CAELIE",
"middle_name": "JAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "18337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.