Individual provider Active NPI

Marlie Mehrtens

  • Case Manager/Care Coordinator
  • Beaverton, OR
National Provider Identifier
1952219263
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
19536 SW Stacey St
Beaverton, OR 97003-2521
Phone
(503) 747-6003
Fax
(541) 631-3424
NPI assigned
Aug 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

19536 SW Stacey St
Beaverton, OR 97003-2521

Mailing address

3126 State St Ste 100
Medford, OR 97504-8665
Phone (458) 225-9358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1952219263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STATE ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048665",
            "telephone_number": "458-225-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19536 SW STACEY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032521",
            "telephone_number": "503-747-6003",
            "fax_number": "541-631-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRTENS",
        "first_name": "MARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.