Glen Zielinski DC PC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

3228 Issued in OR

Legal business name

GLEN ZIELINSKI DC PC

Practice address

17449 Lower Boones Ferry
Suite 300
Lake Oswego, OR 97035-2546

Phone

(503) 850-4526

Fax

(503) 908-1555

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Glen Zielinski, DC

Title

President

Phone

(503) 850-4526

Specialties & licenses 1

Addresses

Other names 1

• Northwest Functional Neurology Doing business as

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1013448356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MERCANTILE DR",
            "address_2": "SUITE 112",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352546",
            "telephone_number": "503-850-4526",
            "fax_number": "503-908-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17449 LOWER BOONES FERRY",
            "address_2": "SUITE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352546",
            "telephone_number": "503-850-4526",
            "fax_number": "503-908-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ZIELINSKI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-850-4526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Functional Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Functional Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reginald Vanness Gilmore II
• Michele A Gilson, LCSW, BCD
• Riley Gintz
• Brocha Etty Glancz, OTR/L, CHT
• Simon David Glass, MD
• Glen Zielinski, DC, PC
• Karly Glenn
• Go to Ortho LLC
• Cherice F Godard
• Colin Gold, DAOM, L.AC.

• Neurology Chiropractor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Neurology Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.