Caressa Gullikson, DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CARESSA GULLIKSON, DC LLC

Practice address

200 NE 20TH Ave Ste 20
Portland, OR 97232-3094

Phone

(974) 229-1384

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Caressa Gullikson, DCNPI 1780048694

Title

Principal

Phone

(541) 941-4959

Specialties & licenses 1

Addresses

Tax ID family

Caressa Gullikson DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Caressa Gullikson, DC LLC

  • Chiropractor
  • Ashland, OR
  • NPI 1003487232
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caressa Gullikson, DC

  • Chiropractor
  • Ashland, OR
  • NPI 1780048694
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1003390717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 20TH AVE STE 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323094",
            "telephone_number": "974-229-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 20TH AVE STE 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323094",
            "telephone_number": "974-229-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESSA GULLIKSON, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "GULLIKSON",
        "authorized_official_first_name": "CARESSA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "541-941-4959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Portland, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.