Organization Active NPI

Elizabeth Nguyen, DC., LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1023386828
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELIZABETH NGUYEN, DC., LLC
Practice address
12766 SE Stark St
Plaza 125 C
Portland, OR 97233-1539
Phone
(503) 232-2933
Fax
(503) 235-9736
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Elizabeth Bao Ngoc Nguyen, DC
Title
Owner
Phone
(503) 232-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12766 SE Stark St
Plaza 125 C
Portland, OR 97233-1539

Mailing address

12766 SE Stark St
Plaza 125 C
Portland, OR 97233-1539
Phone (503) 232-2933

Other names 1

  • Back 2 Health Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

12766 SE Stark St
#125C
Portland, OR 97233
Phone (503) 232-2933

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1023386828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12766 SE STARK ST",
            "address_2": "PLAZA 125 C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-232-2933",
            "fax_number": "503-235-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12766 SE STARK ST",
            "address_2": "PLAZA 125 C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-232-2933",
            "fax_number": "503-235-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH NGUYEN, DC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "BAO NGOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-232-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Health 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 Dec 7, 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.