Active NPI
Terri Poch, LMT
- Specialist
- Portland, OR
National Provider Identifier
1861859142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- #19373
- Practice address
- 119 NE 6TH Ave
Portland, OR 97232-2903 - Phone
- (503) 477-9531
- NPI assigned
- Jan 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | #19373 | OR | Primary |
Addresses
Primary practice location
119 NE 6TH Ave
Portland, OR 97232-2903
Mailing address
119 NE 6TH Ave
Portland, OR 97232-2903
Phone (503) 477-9531
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 |
|---|---|---|---|
| #19373 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1861859142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 NE 6TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322903",
"telephone_number": "503-477-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NE 6TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322903",
"telephone_number": "503-477-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POCH",
"first_name": "TERRI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-18",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "#19373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.