Ronald Cafferky, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16282 Issued in OR

Practice address

10123 SE Market St
Portland, OR 97216-2532

Phone

(360) 263-5420

Fax

(360) 263-5406

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willamette Therapy

  dba Ronald Cafferky MD

  • Psychiatry Physician
  • Portland, OR
  • NPI 1285768879
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932291150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87670",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986877670",
            "telephone_number": "360-263-5420",
            "fax_number": "360-263-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "360-263-5420",
            "fax_number": "360-263-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFERKY",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "16282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lawrence Cady Russell, MS, NCC, LPC
• Jenna Cady
• William Earl Cady, DMD
• Andrew L Caesar Jr., LCSW
• Barbara Rose Caffaratti, M.D.
• Sara Cagle, LCSW
• Jeffrey Robert Cagley, MD
• Katharina Cahen
• Barbara M. Cahill, M.S., CCC-A
• Erin Elizabeth Cahill, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.