Nicole Castonguay, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD172735 Issued in OR

Practice address

2177 NW Irving St Apt 2
Portland, OR 97210-3386

Phone

(267) 847-8209

NPI assigned

Jan 28, 2008

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ncastonguay187955@direct.renown.org

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1871770206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 NW IRVING ST APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103386",
            "telephone_number": "267-847-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 NW IRVING ST APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103386",
            "telephone_number": "267-847-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322503",
            "country_code": "US",
            "telephone_number": "360-254-7750",
            "fax_number": "360-423-9537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60001122",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD172735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687986",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Allen Castle, DMD
• Susannah Bock Castle, PSY.D
• BJ Castleman, MSW, QMHP
• Megan Alexandra Castleman, M.S., CCC-SLP
• Courtney Castler
• Maria Isabel Castro-Mendoza
• Anthony John Castro
• Blanca Castro
• Justin Castro
• Krystal Castro

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.