1962675157 NPI number — MRS. MARIE CECILIA DOMINIQUE CACAO M.A. M.F.T.

Table of content: MRS. MARIE CECILIA DOMINIQUE CACAO M.A. M.F.T. (NPI 1962675157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962675157 NPI number — MRS. MARIE CECILIA DOMINIQUE CACAO M.A. M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CACAO
Provider First Name:
MARIE
Provider Middle Name:
CECILIA DOMINIQUE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A. M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VON WALTHER
Provider Other First Name:
MARIE
Provider Other Middle Name:
CECILIA DOMINIQUE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A. M.F.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962675157
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1002 LIBRARY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OREGON CITY
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97045-4066
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-655-8264
Provider Business Mailing Address Fax Number:
503-655-8428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1002 LIBRARY CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREGON CITY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97045-4066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-655-8264
Provider Business Practice Location Address Fax Number:
503-655-8428
Provider Enumeration Date:
04/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 110366U , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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