MS. MARLA CASTELLO


Address: 2828 Sw Kelly Ave Ste B, Portland, OR 97201-4809
Phone: 5034777878

MS. MARLA CASTELLO (NPI# 1295128650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295128650
Entity Type Individual
Full Name MS. MARLA CASTELLO
Credential RN
Practice Address 2828 Sw Kelly Ave Ste B
Portland
OR 97201-4809
Mailing Address 25 Nw 23rd Pl Ste 6
Portland
OR 97210-5580
Practice Telephone 5034777878
Mailing Telephone 5034777878
Enumeration Date 2015-03-10
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
201406687RN OR Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201606731NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1120 Sw 3rd Ave, Portland, OR 972042828 5039883051

Office Location

Street Address 2828 SW KELLY AVE STE B
City PORTLAND
State OR
Zip Code 97201-4809

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker 1505 Sw College St, Portland, OR 97201 2018-04-26
1730696576 Fiona Everett Counselor 1703 Sw Clay St, Portland, OR 97201 2018-01-02
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1285171736 Howard Mitchell Technician, Other 1110 Sw Clay Street Apt. 34, Portland, OR 97201 2017-01-23
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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