Organization Active NPI

Chris Chlebowski, Incorporated

  • Chiropractor
  • Portland, OR
National Provider Identifier
1013117910
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71 3744 Issued in OR
Legal business name
CHRIS CHLEBOWSKI, INCORPORATED
Practice address
2050 NW Lovejoy St
2
Portland, OR 97209-1670
Phone
(503) 223-6414
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. J Chris Chlebowski, D.C.
Title
President
Phone
(503) 223-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 71 3744 OR Primary

Addresses

Primary practice location

2050 NW Lovejoy St
2
Portland, OR 97209-1670

Mailing address

2050 NW Lovejoy St
2
Portland, OR 97209-1670
Phone (503) 223-6414

National Provider Directory

National Provider Directory

Locations

2050 NW Lovejoy St
#2
Portland, OR 97209
Phone (503) 223-6414

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1013117910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NW LOVEJOY ST",
            "address_2": "2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091670",
            "telephone_number": "503-223-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NW LOVEJOY ST",
            "address_2": "2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091670",
            "telephone_number": "503-223-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS CHLEBOWSKI, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "CHLEBOWSKI",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-223-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.