Active NPI
Elizabeth Nguyen, DC., LLC
- Clinic/Center
- Portland, OR
National Provider Identifier
1023386828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.