Organization Active NPI

Michael Yu DC LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1023312931
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3125 Issued in OR
Legal business name
MICHAEL YU DC LLC
Practice address
12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539
Phone
(503) 659-2844
Fax
(503) 525-5875
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Michael YuNPI 1619068442
Title
Chiropractic Physician
Phone
(503) 659-2844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3125 OR Primary

Addresses

Primary practice location

12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539

Mailing address

12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539
Phone (503) 659-2844

National Provider Directory

National Provider Directory

Locations

12770 SE Stark St
Bldg C
Portland, OR 97233
Phone (503) 226-3579

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": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1023312931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 SE STARK ST",
            "address_2": "PLAZA 125, BUILDING C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-659-2844",
            "fax_number": "503-525-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 SE STARK ST",
            "address_2": "PLAZA 125, BUILDING C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-659-2844",
            "fax_number": "503-525-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL YU DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-659-2844",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3125",
            "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 Jan 6, 2011; 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.