Active NPI
Grant P Morlock, D.C.
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1013248780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60133585
- Practice address
- 4847 Meadows Rd 153
Lake Oswego, OR 97035-2626 - Phone
- (971) 330-8578
- NPI assigned
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60133585 | WA | Primary |
| Chiropractor | 111N00000X | 4078 | OR |
Addresses
Primary practice location
4847 Meadows Rd 153
Lake Oswego, OR 97035-2626
Mailing address
818Nwmarshall St
Portland, OR 97209-3295
Phone (503) 719-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
818 NW Marshall St
Portland, OR 97209-3295
Phone (503) 719-5335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60133585 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asula Chiropractic and Wellness Center, Inc. | Chiropractor | Current | Accepting new patients |
| Constantin Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
| Ferndale Chiropractic Clinic LLC | Chiropractor | Past | Accepting new patients |
Locations
4847 Meadows Rd
Ste 153
Lake Oswego, OR 97035
Phone (971) 330-8578
818 NW Marshall St
Portland, OR 97209
Phone (503) 719-5335
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Portland, OR
- NPI 1245474956
-
- Chiropractor
- Ferndale, WA
- NPI 1952448896
-
- Chiropractor
- Ferndale, WA
- NPI 1992150346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1013248780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818NWMARSHALL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093295",
"telephone_number": "503-719-5335",
"fax_number": "503-719-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4847 MEADOWS RD 153",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352626",
"telephone_number": "971-330-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLOCK",
"first_name": "GRANT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60133585",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.