Organization Active NPI

Paul Edward Okamoto

  • Chiropractor
  • Portland, OR
National Provider Identifier
1013992841
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAUL EDWARD OKAMOTO
Practice address
1730 NE 10TH Ave
Portland, OR 97212-4038
Phone
(503) 224-2225
Fax
(503) 222-3883
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Dr. Paul Edward Okamoto, D.C.
Title
Clinic Director
Phone
(503) 224-2225

Specialties & licenses 1

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

Addresses

Primary practice location

1730 NE 10TH Ave
Portland, OR 97212-4038

Mailing address

1730 NE 10TH Ave
Portland, OR 97212-4038
Phone (503) 224-2225

Other names 1

  • Master's Touch Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3030 S Moody Ave
Ste 102
Portland, OR 97201
Phone (503) 224-2225

1730 NE 10th Ave
Portland, OR 97212
Phone (503) 224-2225

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1013992841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124038",
            "telephone_number": "503-224-2225",
            "fax_number": "503-222-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124038",
            "telephone_number": "503-224-2225",
            "fax_number": "503-222-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL EDWARD OKAMOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-224-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master's Touch Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2010; 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.